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Alaska rates for HCPCS 80336

Antidepressants, tricyclic and other cyclicals; 3-5

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.95 / $23.95 / $29.94
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $6.18 / $6.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $6.18 / $6.18