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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
$208.93 / $208.93 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $109.65 / $208.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $8.32 / $16.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $10.23 / $17.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $21.88 / $43.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $10.72 / $23.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $13.18 / $23.99