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Ohio rates for HCPCS 80220

Hydroxychloroquine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.91 / $26.09 / $164.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.74 / $13.48 / $14.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.46 / $20.50 / $32.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.46 / $7.46 / $18.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.84 / $18.64 / $25.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.84 / $24.23 / $25.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.12 / $19.19 / $39.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.55 / $16.36 / $26.85
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.12 / $19.20 / $39.27
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.55 / $10.28 / $23.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.98 / $15.37 / $22.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.71 / $6.71 / $16.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.83 / $11.18 / $24.42