go back

Iowa rates for HCPCS 80336

Antidepressants Tricyclic 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
$0.04 / $0.04 / $0.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.95 / $37.86 / $47.33
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.95 / $99.91 / $247.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.18 / $24.38 / $24.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.38 / $24.38 / $24.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.38 / $24.38 / $24.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.38 / $24.38 / $24.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.36 / $24.50 / $24.50