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North Carolina 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
$37.15 / $37.15 / $37.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $37.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $64.57 / $64.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $63.10 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $25.12 / $42.66
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $23.99 / $23.99
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $18.20 / $18.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $22.39 / $26.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $12.02 / $25.70
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36