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Minnesota rates for HCPCS 80336

Antidepressants Tricyclic Other Cyclicals 3-5

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.00 / $207.00 / $207.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.53 / $82.35 / $186.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.42 / $30.53 / $30.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.39 / $69.84 / $166.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.19 / $30.42 / $40.46
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.86 / $63.34 / $131.22
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.95 / $23.95 / $37.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.04 / $50.00 / $50.00