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California rates for HCPCS 80333

Antidepressants Serotonergic Class 3-5

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.05 / $0.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.04 / $0.06
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $14.00 / $14.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.96 / $293.00 / $876.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.90 / $26.86 / $44.14
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.66 / $38.09 / $57.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.95 / $23.95 / $29.94
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.00 / $99.00 / $99.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $33.00 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.39 / $36.39 / $36.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.79 / $2,400,000.00 / $2,400,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.08 / $23.08 / $23.08