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Mississippi rates for HCPCS 80375

Drug/Substance Definitive Qual/Quant Nos 1-3

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.50 / $40.50 / $40.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.50 / $40.50 / $40.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.50 / $23.95 / $29.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $20.00 / $40.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.86 / $11.72 / $35.86