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Wisconsin rates for HCPCS 80333

Antidepressants, serotonergic class; 3-5

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $190.55 / $190.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $5.89 / $8.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $61.66 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $30.20 / $35.48
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $17.38 / $17.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $17.38 / $17.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $50.12 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12