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Maine rates for HCPCS 80375

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

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $32.36 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $30.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $21.38 / $26.30
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $21.38 / $33.11