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Virginia 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
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $8.71 / $14.45
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $75.86 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $46.77 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $23.99 / $45.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $33.88 / $35.48
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $1.74 / $28.84
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $16.22
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $28.18 / $10,000.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $28.18 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $12.02 / $15.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $13.18 / $23.44