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Texas rates for HCPCS 84375

Sugars Chromatographic Tlc/Paper Chromatography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.86 / $68.33 / $185.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.84 / $28.86 / $46.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.63 / $113.49 / $218.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $47.97 / $54.60
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.60 / $39.00 / $39.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.39 / $64.39 / $172.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.11 / $19.88 / $59.08
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.40 / $185.25 / $185.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.30 / $39.00 / $42.90
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.19 / $39.00 / $39.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.65 / $39.00 / $89.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.31 / $14.19 / $39.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $16.38 / $23.40
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.21 / $15.60 / $39.00