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Iowa rates for HCPCS 80159

Clozapine

Facilitymedian $32 · 10th–90th $15$550%10%10th90th$32Professionalmedian $18 · 10th–90th $13$1000%10%10th90th$18$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 / $38.02 / $56.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $16.98 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $38.90 / $47.86
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $35.48 / $91.20
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $24.55 / $53.70
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $19.95 / $51.29
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $23.99 / $26.30
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $46.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.14 / $46.77
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $19.95 / $19.95