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Nebraska rates for HCPCS 80175

Lamotrigine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.42 / $64.00 / $236.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.02 / $9.51 / $13.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.40 / $121.87 / $237.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.07 / $20.14 / $21.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.00 / $21.00 / $21.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.28 / $19.10 / $30.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.95 / $26.78 / $197.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.95 / $7.95 / $26.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.23 / $27.01 / $40.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.91 / $29.04 / $38.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.96 / $7.95 / $26.50