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Montana rates for HCPCS 80159

Clozapine

Facilitymedian $30 · 10th–90th $25–$1150%20%40%10th90th$30Professionalmedian $19 · 10th–90th $15–$690%20%10th90th$19$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $131.83
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $87,096.36
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $26.92
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $33.88 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $22.91 / $29.51
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $30.20 / $61.66
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $30.20 / $61.66
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $33.88 / $114.82
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $29.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $10.47 / $25.12