go back

Indiana rates for HCPCS 80337

Antidepressants Tricyclic Other Cyclicals 6/More

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.05 / $0.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.00 / $158.00 / $217.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.18 / $4.18 / $8.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.18 / $4.18 / $10.35
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,874.72 / $32,812.17 / $39,374.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34,124.66 / $36,749.62 / $36,749.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.52 / $27.67 / $34.59