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Virginia 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
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.18 / $4.18 / $5.41
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.02 / $81.03 / $121.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.67 / $27.67 / $34.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.00 / $61.00 / $61.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.91 / $4.91 / $4.91
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.91 / $13.45 / $13.45
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.25 / $10.35 / $9,929.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.25 / $10.35 / $9,929.00