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Washington, DC rates for HCPCS 80159

Clozapine

Facilitymedian $24 · 10th–90th $15–$1230%20%40%10th90th$24Professionalmedian $15 · 10th–90th $14–$540%20%40%10th90th$15$10.0$20.0$50.0$100.0

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
$15.14 / $15.14 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $15.14 / $27.54
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $89.13 / $190.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $33.88 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $22.91 / $154.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $35.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $23.99 / $23.99
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $12.02 / $26.92