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Washington rates for HCPCS 80336

Antidepressants Tricyclic Other Cyclicals 3-5

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.12 / $50.00 / $50.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.06 / $14.81 / $49.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.95 / $23.95 / $29.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $50.00 / $50.00
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.12 / $4.12 / $4.12
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.12 / $4.12
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.06 / $8.06 / $10.44