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Indiana 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
$0.02 / $0.05 / $0.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.00 / $112.00 / $153.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.31 / $8.31 / $16.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.31 / $8.85 / $13.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.21 / $20.69 / $35.31
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.52 / $24.28 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.06 / $23.95 / $29.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.24 / $13.28 / $24.18