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California rates for HCPCS 80336

Antidepressants Tricyclic Other Cyclicals 3-5

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.05 / $0.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.04 / $0.06
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.78 / $14.78 / $14.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.14 / $293.00 / $876.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.06 / $26.86 / $44.14
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.66 / $38.09 / $57.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.95 / $23.95 / $29.94
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.00 / $99.00 / $99.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.00 / $58.00 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.69 / $49.69 / $49.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.12 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.63 / $23.63 / $23.63