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Missouri rates for HCPCS 80159

Clozapine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $33.88 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $16.98 / $33.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $10.23 / $10.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $70.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $15.49 / $48.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $36.31 / $66.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $38.02 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $20.42 / $27.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $34.67 / $95.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $12.02 / $23.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $19.95 / $23.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $12.02 / $23.99