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Maryland rates for HCPCS 80376

Drug/Substance Definitive Qual/Quant Nos 4-6

Insurance Carrier
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.37 / $14.85 / $20.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.01 / $22.83 / $124.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.80 / $33.28 / $38.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.77 / $13.24 / $22.37
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.72 / $8.72 / $11.19