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Virginia 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 / $7.08
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $85.11 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $34.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $4.90 / $4.90
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $4.90 / $13.49
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $38.02 / $10,964.78
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $38.02 / $10,964.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $14.45 / $14.45