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New Hampshire rates for HCPCS 80337

Antidepressants Tricyclic Other Cyclicals 6/More

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.18 / $4.18 / $7.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.67 / $27.67 / $34.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.05 / $18.39 / $41.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.35 / $28.47 / $52.20
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $3,000.00 / $4,410.00