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Maine rates for HCPCS 80335

Antidepressants Tricyclic Other Cyclicals 1 Or 2

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $33.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.23 / $25.30 / $30.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $6.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.20 / $14.51 / $34.02