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Minnesota rates for HCPCS 80337

Antidepressants, tricyclic and other cyclicals; 6 or more

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $323.59 / $407.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $14.13 / $158.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $14.13 / $14.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $85.11 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $35.48 / $48.98
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $75.86 / $158.49
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $45.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.13 / $15.49 / $50.12