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Missouri rates for HCPCS 80175

Lamotrigine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $22.91 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $12.02 / $100.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $13.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $13.18 / $46.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $10.96 / $33.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $26.30 / $46.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $25.12 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $13.49 / $19.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $22.91 / $63.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $7.94 / $16.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $13.18 / $16.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $7.94 / $16.98