go back

Maryland rates for HCPCS 80159

Clozapine

Facilitymedian $63 · 10th–90th $9–$710%20%10th90th$63Professionalmedian $16 · 10th–90th $13–$240%20%10th90th$16$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $70.79 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.85 / $23.99
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $16.22 / $16.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $13.18 / $26.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $19.05 / $35.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $22.91 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $8.51 / $13.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $9.12 / $16.98
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $13.80 / $30.20