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Alaska rates for HCPCS 80171

Gabapentin, whole blood, serum, or plasma

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.01 / $149.54 / $254.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.59 / $72.59 / $139.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.88 / $59.88 / $59.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.08 / $24.78 / $30.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.78 / $15.78 / $15.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.67 / $65.01 / $86.68
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.23 / $80.18 / $86.68
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $32.51 / $86.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.78 / $15.78 / $72.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.14 / $21.67 / $59.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.14 / $43.34 / $65.38