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Oregon rates for HCPCS 80337

Antidepressants Tricyclic Other Cyclicals 6/More

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.67 / $27.67 / $34.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.73 / $25.73 / $25.73
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.35 / $13,910.16 / $18,772.80
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.36 / $13.36 / $13.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.73 / $25.73 / $25.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.60 / $6.60 / $2,550,000.00