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Illinois rates for HCPCS 80159

Clozapine

Facilitymedian $40 · 10th–90th $20–$1200%10%10th90th$40Professionalmedian $16 · 10th–90th $3–$280%10%20%10th90th$16$5.0$10.0$20.0$50.0$100.0$200.0

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
$19.95 / $39.81 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $16.98 / $28.18
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.02
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $79.43 / $251.19
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $13.80 / $15.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $43.65 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $23.44 / $32.36
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $47.86 / $162.18
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $19.95 / $40.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $10.96 / $19.95