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Arizona rates for HCPCS 80375

Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 1-3

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $8.32 / $8.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $28.84 / $42.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $13.49 / $26.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.55 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $23.99 / $30.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $112.20 / $112.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.23 / $22.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $17.78 / $23.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.23 / $15.49