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South Carolina rates for HCPCS 80336

Antidepressants Tricyclic Other Cyclicals 3-5

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.06 / $0.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.95 / $23.95 / $29.94
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.86 / $19.07 / $19.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00