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Pennsylvania rates for HCPCS 80171

Gabapentin, whole blood, serum, or plasma

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $51.29 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $16.98 / $33.11
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $87.10 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $33.88 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $20.89 / $32.36
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $12.88 / $31.62
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $21.88 / $21.88
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $19.50 / $38.02
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $44.67 / $100.00
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $16.22
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $51.29 / $95.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $18.20 / $77.62
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $19.95 / $53.70
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $19.95 / $21.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $21.88 / $25.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $12.88 / $30.20