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Kansas rates for HCPCS 80375

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

Insurance Carrier
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $4.37 / $8.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $53.70 / $57.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $54.95 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $23.99 / $30.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $47.86 / $112.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $13.80 / $25.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $12.02 / $23.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $13.80 / $25.70