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Missouri rates for HCPCS 80336

Antidepressants, tricyclic and other cyclicals; 3-5

Facilitymedian $10 · 10th–90th $0$250%20%40%10th90th$10Professionalmedian $12 · 10th–90th $8$310%20%10th90th$12$0.1$0.2$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $104.71 / $104.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $12.30 / $30.90
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $0.03 / $0.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $24.55 / $24.55