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Arizona rates for HCPCS 80175

Lamotrigine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $42.66 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $9.55 / $35.48
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $9.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $21.88 / $35.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $11.22 / $22.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $11.75 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $16.22 / $19.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $9.77 / $63.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $7.59 / $18.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $13.18 / $16.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $7.59 / $11.75