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Arizona rates for HCPCS 80336

Antidepressants, tricyclic and other cyclicals; 3-5

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.99 / $47.17 / $78.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.41 / $18.05 / $25.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.95 / $23.95 / $29.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.86 / $16.86 / $50.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.83 / $11.83 / $11.83