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Texas rates for HCPCS G0475

HIV antigen/antibody, combination assay, screening

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $44.94 / $131.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.48 / $18.30 / $24.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.05 / $16.72 / $16.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.25 / $74.33 / $127.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $12.76 / $14.93
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.86 / $23.96 / $33.71
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.08 / $24.08 / $24.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.21 / $52.58 / $111.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.66 / $12.66 / $31.41
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $114.38 / $114.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.30 / $24.08 / $29.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.67 / $24.08 / $31.38
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.26 / $39.15 / $54.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.05 / $24.08 / $55.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.66 / $18.54 / $33.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $13.87 / $16.80
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.89 / $11.89 / $24.08