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Montana rates for HCPCS 80159

Clozapine

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.17 / $129.56 / $129.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.00 / $27.00 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $27.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.22 / $39.29 / $59.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.91 / $28.91 / $29.22
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.22 / $39.29 / $59.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $29.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.46 / $8.46 / $25.23