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Indiana rates for HCPCS 80335

Antidepressants Tricyclic Other Cyclicals 1 Or 2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.05 / $0.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.00 / $85.00 / $117.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $5.89 / $5.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.02 / $3.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.22 / $11.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.21 / $20.69 / $35.31
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.52 / $24.28 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.06 / $21.67 / $27.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.24 / $11.92 / $22.85