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Minnesota 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
$169.82 / $169.82 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $229.09 / $288.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $23.99 / $162.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $23.99 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $72.44 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $30.20 / $42.66
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $64.57 / $138.04
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $39.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $45.71 / $112.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $14.79 / $51.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $14.79 / $53.70