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Indiana rates for HCPCS 80337

Antidepressants, tricyclic and other cyclicals; 6 or more

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $154.88 / $295.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $4.17 / $8.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.17 / $10.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.50 / $34.67