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South Carolina rates for HCPCS 80335

Antidepressants Tricyclic Other Cyclicals 1 Or 2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.06 / $0.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.01 / $20.23 / $55.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.81 / $20.43 / $20.43
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.66 / $19.66 / $20.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.71 / $13.16 / $26.32