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Wisconsin rates for HCPCS 80171

Gabapentin, whole blood, serum, or plasma

Facilitymedian $44 · 10th–90th $16$910%10%20%10th90th$44Professionalmedian $18 · 10th–90th $9$710%10%10th90th$18$10.0$20.0$50.0$100.0$200.0

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
$25.70 / $47.86 / $60.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $16.98 / $25.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $58.88 / $60.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $75.86
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $11.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $69.18 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $30.90 / $67.61
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $43.65 / $104.71
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $19.50 / $102.33
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.88 / $38.02
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $21.88 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $25.70 / $33.11
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $25.70 / $61.66
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $51.29 / $72.44
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $102.33
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $8.71
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $45.71
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $52.48 / $120.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $17.38 / $25.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $12.88 / $35.48