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Michigan rates for HCPCS 80338

Antidepressants, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $52.00 / $87.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.88 / $13.88 / $13.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $13.88 / $18.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.39 / $15.49 / $15.89
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $9.40
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.40 / $9.40 / $12.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00