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Florida rates for HCPCS 80375

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $165.96 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $77.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $12.30 / $12.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $23.99 / $43.65
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $95.50 / $147.91
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $19.95 / $19.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $13.18 / $18.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $10.72 / $19.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $10.23 / $25.70
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $16.60 / $21.38