go back

Pennsylvania rates for HCPCS 80159

Clozapine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $51.29 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $15.85 / $36.31
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $120.23 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $15.85 / $17.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $30.90 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $22.39 / $30.20
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $12.02 / $29.51
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $20.89 / $34.67
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $41.69 / $89.13
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $18.20
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $51.29 / $89.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $18.20 / $69.18
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $27.54 / $27.54
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $27.54 / $27.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $19.95 / $23.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $12.02 / $30.20