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Wisconsin 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 / $93.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.15 / $51.60 / $79.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.23 / $64.30 / $73.06
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.81 / $13.81 / $29.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.81 / $13.81 / $112.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.81 / $19.34 / $43.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $65.00 / $3,000.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.81 / $13.81 / $29.32
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $56.98 / $80.05
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.88 / $50.00 / $112.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.76 / $14.36 / $43.93