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Texas rates for HCPCS 86890

Autologous blood or component, collection processing and storage; predeposited

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.78 / $170.80 / $464.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.52 / $70.05 / $110.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.37 / $464.94 / $840.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.28 / $28.57 / $28.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.02 / $116.20 / $431.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.51 / $52.64 / $105.32
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.19 / $418.55 / $426.26
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.17 / $61.78 / $103.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.28 / $65.72 / $59,999.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.17 / $72.34 / $289.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.15 / $36.69 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.17 / $43.12 / $61.93
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.05 / $42.05 / $54.45