go back

Washington, DC rates for HCPCS 80376

Drug/Substance Definitive Qual/Quant Nos 4-6

Insurance Carrier
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.85 / $14.85 / $14.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.18 / $1.18 / $1.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.19 / $13.19 / $13.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.70 / $58.70 / $58.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.11 / $13.24 / $26.00