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Montana rates for HCPCS 80171

Gabapentin, whole blood, serum, or plasma

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.92 / $139.34 / $139.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.04 / $68,099.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.04 / $29.04 / $29.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.42 / $42.26 / $64.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $30.98 / $31.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.42 / $42.26 / $64.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $31.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.58 / $9.10 / $21.67