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Texas rates for HCPCS 84275

Sialic acid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.16 / $25.07 / $65.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.53 / $10.08 / $16.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.59 / $43.28 / $78.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $7.12 / $9.94
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.37 / $13.44 / $13.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.40 / $29.54 / $67.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.12 / $9.75 / $22.43
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $85.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.75 / $13.44 / $17.47
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.84 / $13.44 / $16.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.75 / $13.44 / $32.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.12 / $10.33 / $19.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $7.70 / $13.32
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $6.64 / $13.44