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Texas rates for HCPCS 86828

Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and Class II HLA antigens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.53 / $120.18 / $463.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.95 / $47.50 / $77.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.61 / $192.57 / $359.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $34.02 / $57.13
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.19 / $99.49 / $234.23
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.19 / $184.62 / $184.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.04 / $128.29 / $272.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.27 / $39.79 / $97.58
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.70 / $304.89 / $304.89
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.95 / $64.19 / $70.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.56 / $64.19 / $64.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.02 / $64.19 / $160.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.36 / $43.51 / $81.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.64 / $26.96 / $38.51
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.03 / $25.68 / $64.19