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Vermont rates for HCPCS 80335

Antidepressants Tricyclic Other Cyclicals 1 Or 2

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.79 / $223.79 / $223.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $1.21 / $235.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.23 / $20.23 / $25.30
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $1.21 / $235.70
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.05 / $20.23 / $25.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.76 / $22.85 / $52.00