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Indiana rates for HCPCS 80177

Levetiracetam

Facilitymedian $21 · 10th–90th $13$1780%20%10th90th$21Professionalmedian $10 · 10th–90th $7$190%20%10th90th$10$5.0$10.0$20.0$50.0$100.0$200.0

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
$13.18 / $29.51 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.00 / $35.48
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $9.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $39.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $13.80
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $13.80 / $17.38
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $13.18 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $13.18 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $9.55 / $19.05
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $13.18 / $13.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $10.00 / $15.49