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North Carolina rates for HCPCS 80375

Drug/Substance Definitive Qual/Quant Nos 1-3

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $37.04 / $37.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.04 / $37.04 / $37.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.82 / $63.25 / $63.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $63.16 / $63.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.24 / $23.95 / $29.94
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.39 / $23.39 / $23.84
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.26 / $23.39 / $23.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.57 / $11.90 / $22.59
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $135.76 / $135.76