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Maryland rates for HCPCS 80375

Drug/Substance Definitive Qual/Quant Nos 1-3

Insurance Carrier
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.15 / $13.50 / $18.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.01 / $23.95 / $29.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.80 / $33.28 / $38.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.77 / $13.33 / $24.18
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.40 / $8.40 / $10.77