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Idaho rates for HCPCS 80171

Gabapentin, whole blood, serum, or plasma

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $56.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $19.95 / $41.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $37.15 / $77.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $44.67 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $20.42 / $30.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $28.18 / $44.67
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $25.70 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $43.65 / $77.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $22.91
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $9.12 / $21.88