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Illinois 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 / $0.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.97 / $49.50 / $93.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.95 / $24.19 / $29.94
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.55 / $125.00 / $213.64
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00