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Texas rates for HCPCS 84377

Sugars Mono Di&Oligos Mlt Qualitative Each Spe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.16 / $10.26 / $29.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.08 / $4.13 / $6.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $15.46 / $30.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $5.00 / $5.50
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
$15.28 / $70.00 / $70.00
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
$5.20 / $5.50 / $6.81
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 / $4.24 / $7.95
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