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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
$17.55 / $54.18 / $90.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.84 / $15.79 / $20.80
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.48 / $81.13 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.89 / $16.89 / $16.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.24 / $28.18 / $63.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.28 / $21.16 / $32.49
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.97 / $12.79 / $29.34
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.00 / $30.64 / $66.65
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.55 / $54.18 / $90.63
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.84 / $16.89 / $89.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.51 / $31.52 / $71.72
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.77 / $21.16 / $30.98
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.89 / $21.67 / $21.67
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.07 / $21.67 / $21.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.05 / $13.00 / $35.75