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Utah rates for HCPCS 80171

Gabapentin, whole blood, serum, or plasma

Facilitymedian $60 · 10th–90th $16$1150%20%10th90th$60Professionalmedian $16 · 10th–90th $11$220%20%10th90th$16$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $87.10 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $15.85 / $19.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $22.39 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $10.23 / $30.90
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $87.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $18.62 / $19.50
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $21.88 / $69.18
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $19.05 / $32.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $14.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $9.12 / $18.20