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Ohio 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 / $0.02 / $0.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $112.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.64 / $8.64 / $19.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.36 / $18.80 / $29.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $1.52 / $4.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.06 / $12.57 / $29.94
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $1.52 / $4.19
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.06 / $11.06 / $12.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.27 / $13.27 / $35.68