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California rates for HCPCS 80171

Gabapentin, whole blood, serum, or plasma

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $67.61 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $16.98 / $144.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $50.12 / $109.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $12.59 / $33.88
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $75.86 / $173.78
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $15.14 / $56.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $37.15 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $13.18 / $33.11
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $21.88 / $34.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $21.88 / $47.86
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $102.33 / $102.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $25.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $21.88 / $56.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $13.18 / $43.65
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $18.62 / $24.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $12.02 / $21.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $9.77 / $36.31