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Wisconsin rates for HCPCS 80166

Doxepin

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.17 / $62.13 / $95.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.37 / $30.46 / $141.81
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.81 / $13.81 / $19.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.81 / $13.81 / $19.03
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.81 / $13.81 / $19.03
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $60.00 / $90.00