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Michigan rates for HCPCS 80337

Antidepressants, tricyclic and other cyclicals; 6 or more

Facilitymedian $23 · 10th–90th $9$280%20%10th90th$23Professionalmedian $10 · 10th–90th $9$130%50%10th90th$10$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $112.20 / $177.83
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $9.77
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.77 / $9.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $34.67
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $24.55 / $27.54
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $10.47 / $13.49