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Indiana rates for HCPCS 80159

Clozapine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.52 / $31.43 / $208.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.92 / $16.52 / $19.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.92 / $18.03 / $60.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.13 / $10.03 / $25.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.14 / $24.18 / $27.20
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $23.17 / $28.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.84 / $20.14 / $47.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.59 / $18.21 / $28.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.46 / $12.09 / $19.05