go back

Nebraska rates for HCPCS 80159

Clozapine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.25 / $78.59 / $213.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.30 / $14.11 / $129.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.40 / $121.87 / $237.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.31 / $30.62 / $33.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.65 / $28.91 / $45.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.09 / $25.27 / $95.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.09 / $12.09 / $40.29
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.65 / $37.68 / $52.97
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.20 / $41.10 / $53.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.49 / $12.09 / $22.17