go back

Missouri rates for HCPCS 80168

Ethosuximide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $28.18 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $14.13 / $33.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $16.22 / $57.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $14.13 / $42.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $33.11 / $37.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $30.90 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $16.60 / $23.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $29.51 / $77.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $10.23 / $20.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $16.22 / $19.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $9.77 / $19.95