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Michigan rates for HCPCS 80375

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $44.67
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $12.30 / $12.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $10.96 / $10.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $10.96 / $10.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $30.20
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $60.26 / $67.61
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $25.70 / $32.36
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $23.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $12.02 / $26.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $13.18 / $16.22