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Delaware rates for HCPCS 80159

Clozapine

Facilitymedian $23 · 10th–90th $23–$430%50%90th$23Professionalmedian $16 · 10th–90th $15–$540%20%40%10th90th$16$10.0$20.0$50.0

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
$22.91 / $22.91 / $42.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.85 / $56.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $13.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $12.30 / $34.67
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $12.88 / $25.12