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Michigan rates for HCPCS 80171

Gabapentin, whole blood, serum, or plasma

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.98 / $20.59 / $31.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.84 / $18.64 / $20.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.02 / $24.51 / $43.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.05 / $16.25 / $21.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $24.78 / $30.98
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.00 / $20.59 / $36.03
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.78 / $19.46 / $26.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.14 / $17.94 / $24.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.60 / $10.85 / $13.87