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North Carolina rates for HCPCS 80375

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

Facilitymedian $37 · 10th–90th $13–$1510%20%40%10th90th$37Professionalmedian $14 · 10th–90th $11–$260%20%10th90th$14$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $37.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $37.15
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $41.69 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $23.99 / $32.36
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $23.99
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $18.20 / $18.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $22.39 / $26.92
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $12.02 / $25.70
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36