go back

Pennsylvania rates for HCPCS 80338

Antidepressants, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.05 / $0.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.04
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.30 / $23.30 / $23.30
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.94 / $9.94 / $9.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.39 / $12.39 / $15.49
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.92 / $7.92 / $7.92
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.62 / $17.62 / $17.62
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.05
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.04
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.39 / $12.39 / $15.49