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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
$0.02 / $19.66 / $98.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.04 / $19.66 / $19.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.29 / $12.29 / $12.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.64 / $10.23 / $22.05
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.92 / $21.53 / $21.53
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.72 / $21.53 / $21.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $51.03 / $84.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.53 / $29.06 / $115.39
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $21.53 / $21.53
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.58 / $23.35 / $25.72
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.20 / $14.20 / $73.39
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.73 / $51.03 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.26 / $18.26 / $29.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.67 / $14.80 / $38.46
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.22 / $26.16 / $26.16
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.61 / $23.35 / $27.34