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Maine rates for HCPCS 80171

Gabapentin, whole blood, serum, or plasma

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $21.88 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $16.98 / $53.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $114.82 / $125.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $12.88 / $18.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $19.05 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $19.05 / $30.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $21.88 / $26.30
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $21.88 / $35.48
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $20.89 / $53.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $18.20 / $31.62