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Massachusetts 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
$100.00 / $100.00 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $17.38 / $38.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $47.86 / $69.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $0.56 / $1.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $23.99 / $30.20
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $34.67 / $40.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.38 / $54.95
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $29.51 / $35.48
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $17.38 / $38.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $19.95 / $26.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $20.42 / $54.95