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Wisconsin rates for HCPCS 80335

Antidepressants, tricyclic and other cyclicals; 1 or 2

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $218.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $70.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $51.29 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $26.30 / $74.13
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $13.80 / $43.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $13.80 / $112.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $14.13 / $42.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $54.95 / $1,258.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $54.95 / $79.43
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $151.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $13.49 / $19.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $13.80 / $43.65