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Montana rates for HCPCS 80336

Antidepressants, tricyclic and other cyclicals; 3-5

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $75,857.76 / $95,499.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $30.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $79.43 / $85.11