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Missouri 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
$4.37 / $4.37 / $8.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $16.60 / $45.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $24.55 / $30.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $112.20 / $112.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $13.80 / $25.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $14.45 / $22.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $13.80 / $27.54