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Washington rates for HCPCS 80337

Antidepressants Tricyclic Other Cyclicals 6/More

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.60 / $50.00 / $50.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.18 / $9.00 / $49.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.67 / $27.67 / $34.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $50.00 / $50.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.36 / $13.36 / $13.36
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.60 / $6.60 / $6.60
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.60 / $6.60 / $6.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.35 / $10.35 / $10.35
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.18 / $4.18 / $5.41