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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
$0.02 / $0.05 / $0.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.00 / $135.00 / $185.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.06 / $8.06 / $15.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.06 / $8.86 / $12.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,874.72 / $32,812.17 / $39,374.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34,124.66 / $36,749.62 / $36,749.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.64 / $23.95 / $29.94