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Pennsylvania rates for HCPCS 80335

Antidepressants, tricyclic and 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
$0.02 / $19.66 / $19.66
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.00 / $19.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.75 / $25.30 / $29.11
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $5.05 / $5.05
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.79 / $40.79 / $196.81
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.05
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.04
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.23 / $25.30 / $29.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $14.51 / $37.77