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Massachusetts rates for HCPCS 80335

Antidepressants Tricyclic Other Cyclicals 1 Or 2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.00 / $98.00 / $98.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.56 / $135.76 / $135.76
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.75 / $17.28 / $39.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.28 / $52.96 / $95.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.01 / $22.01 / $22.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $0.99 / $1.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.57 / $20.23 / $107.77
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.54 / $34.54 / $40.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $6.93 / $68.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.56 / $135.76 / $135.76
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.75 / $17.28 / $39.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.18 / $17.21 / $33.63