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Missouri rates for HCPCS 80337

Antidepressants, tricyclic and other cyclicals; 6 or more

Facilitymedian $10 · 10th–90th $0–$250%20%40%10th90th$10Professionalmedian $12 · 10th–90th $4–$310%20%10th90th$12$0.1$0.2$1.0$5.0$20.0$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
$123.03 / $123.03 / $123.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $11.75 / $30.90
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $0.03 / $0.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $34.67
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $24.55 / $24.55