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Wisconsin rates for HCPCS 80337

Antidepressants Tricyclic Other Cyclicals 6/More

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.18 / $4.18 / $7.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.38 / $70.55 / $108.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.67 / $34.59 / $161.04
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.55 / $18.55 / $18.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $18.55 / $18.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.38 / $65.00 / $3,000.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.55 / $18.55 / $18.55
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.92 / $32.92 / $32.92
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.35 / $10.35 / $10.35
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.35 / $10.35 / $10.35