go back

Ohio rates for HCPCS 80366

Pregabalin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $91.20 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $131.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $10.96 / $12.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $4.27 / $13.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $18.62 / $25.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $21.88 / $29.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $1.51 / $4.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $12.59 / $21.38
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $1.51 / $7.41
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $10.96 / $12.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $12.30 / $16.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $12.88 / $23.99