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Illinois rates for HCPCS 80337

Antidepressants Tricyclic Other Cyclicals 6/More

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.69 / $4.69 / $6.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.97 / $49.50 / $93.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.67 / $27.95 / $34.59
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $146.10 / $250.57
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00