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Tennessee rates for HCPCS 80375

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

Insurance Carrier
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $4.37 / $8.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $60.26 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $23.99 / $35.48
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $9.55 / $13.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $12.88 / $23.99