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Arizona rates for HCPCS 80177

Levetiracetam

Facilitymedian $37 · 10th–90th $10–$680%5%10%10th90th$37Professionalmedian $10 · 10th–90th $7–$400%20%10th90th$10$5.0$10.0$20.0$50.0$100.0

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
$18.62 / $42.66 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.72 / $48.98
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $9.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $31.62 / $60.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $11.22 / $53.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $12.88 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $12.02 / $19.95
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $10.00 / $63.10
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $7.59 / $18.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $13.18 / $15.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $7.59 / $14.45