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Minnesota rates for HCPCS 80171

Gabapentin, whole blood, serum, or plasma

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $34.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $16.98 / $30.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $21.88 / $83.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $21.88 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $81.28 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $31.62 / $41.69
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $74.13 / $154.88
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $24.55 / $41.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $34.67 / $102.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.88 / $45.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $21.88 / $25.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $13.80 / $47.86