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Ohio rates for HCPCS 80336

Antidepressants, tricyclic and other cyclicals; 3-5

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $104.71 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $151.36 / $162.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $13.49 / $17.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $10.47 / $23.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $30.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26