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Maine rates for HCPCS 80159

Clozapine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.85 / $20.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $162.18 / $173.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $12.02 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $26.92 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $22.91 / $28.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $19.95 / $24.55
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $75.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $19.05 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $19.95 / $38.02