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Wisconsin rates for HCPCS 80337

Antidepressants, tricyclic and other cyclicals; 6 or more

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $407.38 / $407.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.17 / $6.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $70.79 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $34.67 / $41.69
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $18.62 / $18.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $18.62 / $18.62
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $10.23 / $10.23
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $10.23 / $10.23