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Wyoming rates for HCPCS 80171

Gabapentin, whole blood, serum, or plasma

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.67 / $21.67 / $21.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.79 / $21.67 / $21.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.73 / $22.73 / $27.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.09 / $34.00 / $69.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.27 / $43.27 / $43.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $24.78 / $30.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.60 / $9.10 / $18.09