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Texas rates for HCPCS 84376

Sugars Mono Di&Oligos 1 Qualitataive Each Spec

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.16 / $10.26 / $30.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $4.46 / $5.34
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.64 / $2.64 / $3.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $15.28 / $30.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $5.00 / $5.50
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $8.25 / $26.07
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.35 / $5.50 / $5.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.85 / $12.03 / $24.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $3.98 / $9.30
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.91 / $69.81 / $69.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.40 / $5.50 / $7.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.95 / $5.50 / $7.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.40 / $5.50 / $12.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $4.23 / $7.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.93 / $4.05 / $6.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $3.15 / $4.49
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.15 / $2.72 / $5.50