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Maine rates for HCPCS 80171

Gabapentin, whole blood, serum, or plasma

Facilitymedian $22 · 10th–90th $22–$1150%50%90th$22Professionalmedian $17 · 10th–90th $12–$320%20%10th90th$17$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $16.98 / $53.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $114.82 / $125.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $12.30 / $18.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $19.05 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $19.50 / $24.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $21.88 / $26.30
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.85 / $20.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $21.88 / $33.11