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Idaho rates for HCPCS 80177

Levetiracetam

Facilitymedian $32 · 10th–90th $16–$1480%10%10th90th$32Professionalmedian $13 · 10th–90th $10–$310%20%10th90th$13$10.0$20.0$50.0$100.0$200.0$500.0

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
$20.89 / $48.98 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $15.14 / $30.90
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $27.54 / $67.61
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $13.18 / $85.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $27.54 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $9.77 / $19.05
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $81.28
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $25.12
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $26.92 / $47.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $11.22 / $13.80
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $20.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $7.59 / $18.20