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Kansas rates for HCPCS 80177

Drug Screen Quantitative Levetiracetam

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.25 / $39.79 / $138.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.02 / $9.58 / $13.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.95 / $9.21 / $9.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.66 / $24.06 / $36.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.05 / $19.78 / $19.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $13.95 / $74.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.60 / $19.10 / $26.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.66 / $9.66 / $23.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.57 / $9.10 / $26.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.63 / $9.57 / $26.68