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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
$171.00 / $171.00 / $171.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.82 / $82.35 / $186.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $23.82 / $23.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.39 / $69.84 / $166.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.19 / $30.42 / $40.46
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.86 / $63.34 / $131.22
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.95 / $23.95 / $37.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.57 / $69.00 / $112.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.28 / $15.63 / $51.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.16 / $15.63 / $51.50