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Texas rates for HCPCS 87534

Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique

Facilitymedian $36 · 10th–90th $16–$1050%5%10%10th90th$36Professionalmedian $17 · 10th–90th $12–$360%10%20%10th90th$17$5.0$10.0$20.0$50.0$100.0$200.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $40.74 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $16.98 / $30.90
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.50 / $12.02
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $45.71 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $15.49 / $41.69
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $104.71 / $186.21
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $181.97 / $181.97
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $27.54 / $66.07
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $19.95 / $36.31
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $21.88
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $32.36 / $66.07
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $20.42 / $41.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $21.88 / $26.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $11.75 / $26.92
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $15.14 / $21.88