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Arkansas rates for HCPCS 80177

Drug Screen Quantitative Levetiracetam

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.61 / $112.60 / $134.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $20.61 / $20.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.11 / $15.11 / $15.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.03 / $22.10 / $22.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $13.91 / $13.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.61 / $8.61 / $13.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.99 / $15.26 / $33.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.36 / $15.28 / $19.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.26 / $13.26 / $13.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.57 / $7.95 / $22.15