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Maine rates for HCPCS 80336

Antidepressants, tricyclic and other cyclicals; 3-5

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.06 / $8.06 / $8.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.95 / $23.95 / $29.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.30 / $20.30 / $24.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.30 / $21.72 / $21.72