go back

Maryland rates for HCPCS 80377

Drug/Substance Definitive Qual/Quant Nos 7/More

Insurance Carrier
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.58 / $16.20 / $22.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.09 / $11.36 / $27.86
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 / $13.17 / $22.37
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.03 / $3.03 / $3.89