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Ohio rates for HCPCS 80159

Clozapine

Facilitymedian $28 · 10th–90th $17$660%20%10th90th$28Professionalmedian $16 · 10th–90th $9$410%20%10th90th$16$10.0$20.0$50.0$100.0

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
$16.98 / $30.90 / $69.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $16.98 / $47.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $21.38 / $37.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $11.75 / $26.30
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $22.91
CareSource
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
$13.18 / $26.30 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $11.48 / $35.48
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $26.30 / $83.18
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $13.18 / $20.89
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $18.20 / $25.12
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $23.99
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $21.38 / $40.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $19.95 / $30.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $12.02 / $23.99