go back

New York rates for HCPCS 80171

Gabapentin, whole blood, serum, or plasma

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.42 / $36.84 / $64.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.84 / $10.84 / $21.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.67 / $21.67 / $56.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.67 / $13.11 / $31.79
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.00 / $21.67 / $21.67
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.82 / $21.67 / $21.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $43.82 / $56.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.88 / $21.92 / $104.45
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.00 / $28.17 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.90 / $12.89 / $39.65
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.61 / $10.61 / $10.61
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.61 / $13.55 / $22.72
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.87 / $52.79 / $254.50
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $20.71 / $33.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.10 / $13.00 / $31.83
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.89 / $24.92 / $28.59
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $16.35 / $26.05