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New Hampshire 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 / $16.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.31 / $2.72 / $3.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.46 / $12.46 / $25.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.79 / $8.89 / $66.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.58 / $15.12 / $31.81
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $3,000.00 / $4,410.00