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Red Cell Preparation For Antibody Testing

Texas rates for HCPCS 86972

A preparation step used in blood-bank testing. Red blood cells from a sample are treated in the laboratory to remove something that would otherwise interfere, so that antibody detection or compatibility testing can give a clear answer. It is performed when a straightforward test is being confused by other material in the sample.

Facilitymedian $72 · 10th–90th $24$4790%5%10%10th90th$72Professionalmedian $28 · 10th–90th $18$440%20%10th90th$28$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$77.62
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$28.84
Typical High
$42.66
BCBS
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$398.11
Typical High
$741.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$9.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$67.61
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$21.38
Typical High
$47.86
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$33.11
Typical High
$66.07
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$28.84
Typical High
$43.65
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Providence
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$33.11
Typical High
$67.61
Providence
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$21.38
Typical High
$47.86
United
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$147.91
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$17.78
Typical High
$25.70
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$17.38
Typical High
$21.38