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Indiana rates for HCPCS 80336

Antidepressants, tricyclic and other cyclicals; 3-5

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $131.83 / $251.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $13.49 / $24.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $8.13 / $15.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $10.00 / $15.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $10.72 / $30.20