go back

Louisiana 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 / $0.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.27 / $23.66 / $38.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.10 / $22.00 / $26.89
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.06 / $8.06 / $8.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.67 / $27.67 / $34.59