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Washington, DC rates for HCPCS 80177

Drug Screen Quantitative Levetiracetam

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.94 / $81.09 / $183.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.94 / $9.94 / $9.94
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.60 / $56.62 / $123.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.53 / $22.39 / $47.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.27 / $15.28 / $19.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.93 / $26.93 / $26.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.60 / $8.92 / $12.06