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Kentucky rates for HCPCS 80159

Clozapine

Facilitymedian $25 · 10th–90th $16–$480%10%10th90th$25Professionalmedian $17 · 10th–90th $13–$250%20%10th90th$17$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
$15.85 / $30.20 / $47.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $15.85 / $23.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $19.95 / $21.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $25.12 / $25.12
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $23.99 / $28.18
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $25.12 / $40.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $35.48 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $43.65 / $97.72
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $10.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $19.95 / $19.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $15.14 / $25.12