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Indiana rates for HCPCS 80376

Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 4-6

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.05 / $0.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.00 / $120.00 / $165.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.93 / $8.93 / $17.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.93 / $9.56 / $13.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.21 / $20.69 / $35.31
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.52 / $24.28 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.06 / $21.67 / $37.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.24 / $13.24 / $23.94