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Texas rates for HCPCS 87506

Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 6-11 targets

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $478.63 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $208.93 / $331.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $131.83 / $407.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $812.83 / $1,380.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $144.54 / $354.81
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $398.11 / $1,230.27
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $316.23 / $398.11
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $263.03 / $263.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $549.54 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $177.83 / $457.09
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $1,258.93
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,995.26 / $1,995.26
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $269.15 / $724.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $208.93 / $331.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $263.03
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $302.00 / $954.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $186.21 / $446.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $109.65 / $263.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $123.03 / $181.97
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $218.78 / $263.03