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Pennsylvania rates for HCPCS 80375

Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 1-3

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $4.37 / $4.37
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $14.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $26.92 / $36.31
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $44.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $12.02 / $16.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $15.14 / $33.88