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New Hampshire rates for HCPCS 80337

Antidepressants, tricyclic and other cyclicals; 6 or more

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.17 / $7.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $34.67
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $19.05 / $38.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $29.51 / $123.03