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Maine rates for HCPCS 80159

Clozapine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.14 / $33.36 / $75.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.32 / $16.32 / $20.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $26.90 / $174.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.06 / $8.06 / $21.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.11 / $26.90 / $42.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.30 / $24.47 / $28.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $20.14 / $24.40
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.14 / $20.14 / $75.29
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.32 / $20.14 / $23.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.09 / $15.11 / $35.27