go back

North Carolina rates for HCPCS 80336

Antidepressants Tricyclic Other Cyclicals 3-5

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.11 / $35.11 / $43.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.90 / $75.00 / $75.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.95 / $23.95 / $29.94
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.07 / $19.07 / $19.07
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $5.83 / $15.05
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00