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Virginia rates for HCPCS 80159

Clozapine

Facilitymedian $28 · 10th–90th $15–$1100%20%10th90th$28Professionalmedian $15 · 10th–90th $9–$240%20%10th90th$15$10.0$50.0$200.0$1.0K$5.0K

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
$15.14 / $42.66 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $18.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $85.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $15.49
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $85.11 / $125.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $48.98 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $12.30 / $28.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $23.99 / $29.51
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $25.70
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $42.66
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $26.92 / $10,000.00
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $26.92 / $10,000.00
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 / $10.00 / $16.60