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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
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.64 / $8.64 / $8.64
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.25 / $73.73 / $110.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.18 / $59.55 / $69.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $14.92 / $29.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.24 / $34.85 / $35.67
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $1.75 / $28.57
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $23.39 / $23.39
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $29.00 / $7,420.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $29.00 / $7,420.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.06 / $13.33 / $23.64