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Louisiana rates for HCPCS 80336

Antidepressants, tricyclic and other cyclicals; 3-5

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.20 / $23.31 / $33.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.10 / $22.00 / $26.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.95 / $23.95 / $29.94