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Virginia 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
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.06 / $8.06 / $10.43
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.02 / $81.03 / $121.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.95 / $23.95 / $29.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.00 / $52.00 / $52.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.07 / $3.07 / $3.07
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.07 / $13.45 / $13.45
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.23 / $37.11 / $9,929.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.23 / $37.11 / $9,929.00