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Wisconsin rates for HCPCS 80338

Antidepressants Not Otherwise Specified

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $5.04 / $7.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.03 / $31.59 / $48.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.39 / $15.49 / $72.11
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.33 / $15.33 / $15.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $15.33 / $15.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.72 / $65.00 / $3,000.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.33 / $15.33 / $15.33
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.75 / $39.75 / $39.75
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
$12.75 / $12.75 / $12.75
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.75 / $12.75 / $12.75