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North Carolina rates for HCPCS 80159

Clozapine

Facilitymedian $46 · 10th–90th $16–$870%10%20%10th90th$46Professionalmedian $16 · 10th–90th $13–$240%20%10th90th$16$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
$16.22 / $45.71 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.85 / $23.99
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $12.88 / $12.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $75.86 / $75.86
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $14.13 / $22.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $41.69 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $12.30 / $30.20
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $36.31
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $14.79 / $21.38
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $22.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $19.95 / $30.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $12.59 / $25.12
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $95.50