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California rates for HCPCS 80159

Clozapine

Facilitymedian $66 · 10th–90th $20$1910%5%10th90th$66Professionalmedian $18 · 10th–90th $13$690%10%10th90th$18$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $91.20 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $18.20 / $131.83
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $12.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $46.77 / $100.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $16.60 / $40.74
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $107.15 / $288.40
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $20.89 / $74.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $35.48 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $20.42 / $45.71
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $19.95 / $32.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $19.95 / $45.71
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $95.50
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $23.99
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $22.91 / $52.48
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $15.49 / $45.71
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $18.62 / $28.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $13.18 / $19.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $10.72 / $38.90