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Massachusetts rates for HCPCS 80337

Antidepressants Tricyclic Other Cyclicals 6/More

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.00 / $183.00 / $183.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.35 / $15.66 / $27.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.01 / $22.01 / $22.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.67 / $27.67 / $34.59
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.35 / $14.35 / $66.33
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.27 / $10.35 / $35.70