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Maine rates for HCPCS 80159

Clozapine

Facilitymedian $20 · 10th–90th $20–$1620%20%40%90th$20Professionalmedian $17 · 10th–90th $13–$250%10%20%10th90th$17$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 / $19.95 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $16.98 / $21.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $162.18 / $173.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $11.48 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $26.92 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $20.42 / $26.92
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.95 / $24.55
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.85 / $21.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $19.95 / $38.02