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New York 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
$19.50 / $70.79 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $19.05 / $19.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $8.71 / $22.91
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $21.38 / $21.38
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $21.38 / $21.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $30.20 / $114.82
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.38 / $21.38
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $23.44 / $25.70
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $14.13 / $74.13
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $53,703.18 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $14.45 / $16.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $16.98 / $38.90
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $22.39 / $26.30
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $23.44 / $27.54