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Michigan rates for HCPCS 80336

Antidepressants, tricyclic and other cyclicals; 3-5

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $41.00 / $97.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.83 / $15.83 / $15.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.55 / $12.55 / $12.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.52 / $12.55 / $16.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.95 / $26.86 / $29.94
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $9.40
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.40 / $9.40 / $12.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.15 / $30.00 / $30.00