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Texas rates for HCPCS 80336

Antidepressants, tricyclic and other cyclicals; 3-5

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $11.75 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $144.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $7.41 / $13.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.38 / $3.24 / $7.94
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $14.13 / $14.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $23.99 / $30.20
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $85.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $16.98 / $52.48
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $5.01 / $60,255.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $16.98 / $16.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $79.43 / $2,398,832.92
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94