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Washington, DC rates for HCPCS 80375

Drug/Substance Definitive Qual/Quant Nos 1-3

Insurance Carrier
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.50 / $71.23 / $155.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.18 / $1.18 / $1.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.19 / $23.95 / $29.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.70 / $58.70 / $58.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.31 / $9.31 / $9.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.12 / $17.71 / $45.87