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Nebraska rates for HCPCS 80171

Gabapentin, whole blood, serum, or plasma

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.32 / $90.69 / $159.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.30 / $15.17 / $139.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.40 / $121.87 / $237.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.46 / $32.93 / $35.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.23 / $30.98 / $48.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.00 / $27.17 / $102.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.82 / $13.00 / $43.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.23 / $30.34 / $55.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.00 / $37.99 / $56.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.82 / $13.00 / $43.34