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Illinois rates for HCPCS 80338

Antidepressants, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $32.36 / $32.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $75.86 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $12.59 / $15.85
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $100.00 / $199.53
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14