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Texas rates for HCPCS 80337

Antidepressants Tricyclic Other Cyclicals 6/More

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.06 / $0.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $5.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.43 / $6.24 / $17.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.20 / $7.26 / $19.64
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.56 / $9.56 / $9.56
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.06 / $8.06 / $8.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.67 / $27.67 / $34.59
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.63 / $18.55 / $18.55
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.84 / $7.34 / $59,999.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.63 / $18.55 / $18.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.60 / $11.83 / $2,400,000.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $4.18 / $5.41