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Texas rates for HCPCS 84376

Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $10.23 / $46.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.98 / $6.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $3.31 / $3.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $17.38 / $31.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $5.01 / $5.50
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $7.94 / $30.90
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $5.50 / $5.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $11.48 / $25.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $3.89 / $9.33
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $69.18 / $69.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $5.50 / $23.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $4.90 / $7.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.57 / $33.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.37 / $5.50 / $16.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $3.98 / $9.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $3.31 / $5.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $3.24 / $4.68
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.14 / $5.50