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Michigan rates for HCPCS 80335

Antidepressants, tricyclic and other cyclicals; 1 or 2

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $44.67
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $20.42 / $20.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $11.48 / $11.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $11.48 / $11.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $20.42 / $25.12
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $24.55 / $27.54
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $12.30 / $28.84
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $20.42 / $20.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $12.02 / $29.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $12.59 / $15.49