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Utah rates for HCPCS 80159

Clozapine

Facilitymedian $69 · 10th–90th $22$1580%20%10th90th$69Professionalmedian $16 · 10th–90th $13$220%10%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
$21.88 / $69.18 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.85 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $20.89 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $11.48 / $32.36
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $83.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $16.98 / $18.20
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $19.95 / $63.10
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $19.95 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $13.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $10.72 / $25.12