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Connecticut rates for HCPCS 80177

Drug Screen Quantitative Levetiracetam

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $23.28 / $90.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.02 / $9.58 / $13.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.25 / $19.44 / $36.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.54 / $7.95 / $19.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $16.39 / $47.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $15.28 / $19.10
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.10 / $10.60 / $16.11
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.79 / $65.79 / $65.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.63 / $13.25 / $23.47