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Vermont rates for HCPCS 80171

Gabapentin, whole blood, serum, or plasma

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.43 / $22.43 / $22.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.78 / $208.78 / $208.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.28 / $36.28 / $219.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.57 / $20.72 / $30.98
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.28 / $36.28 / $219.90
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.57 / $20.72 / $30.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.85 / $13.00 / $27.83