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Texas rates for HCPCS 83864

Mucopolysaccharides, acid, quantitative

Facilitymedian $54 · 10th–90th $21$1480%5%10th90th$54Professionalmedian $21 · 10th–90th $12$320%10%10th90th$21$2.0$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $53.70 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $21.88 / $33.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $89.13 / $154.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $15.85 / $28.18
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $28.18 / $28.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $53.70 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $14.45 / $43.65
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $134.90 / $134.90
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $28.18 / $74.13
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $25.70 / $42.66
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $23.99 / $23.99
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $28.18 / $79.43
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $14.45 / $37.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $28.18 / $33.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $12.02 / $22.91
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $14.79 / $28.18