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Minnesota rates for HCPCS 80159

Clozapine

Facilitymedian $49 · 10th–90th $20–$1320%20%10th90th$49Professionalmedian $20 · 10th–90th $16–$300%20%10th90th$20$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
$18.20 / $18.20 / $42.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $18.20 / $100.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $83.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $19.95 / $19.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $75.86 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $29.51 / $38.90
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $63.10 / $131.83
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $38.90
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $40.74 / $95.50
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.88 / $42.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $19.95 / $23.99
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $19.95 / $44.67