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Texas rates for HCPCS 80336

Antidepressants Tricyclic Other Cyclicals 3-5

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.06 / $0.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $5.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.10 / $121.10 / $121.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.37 / $2.40 / $5.80
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.76 / $18.76 / $18.76
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.99 / $13.99 / $13.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.95 / $23.95 / $29.94
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.86 / $16.86 / $28.27
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.59 / $4.59 / $59,999.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.86 / $16.86 / $28.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.12 / $2,400,000.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.92 / $8.06 / $10.44