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Kansas rates for HCPCS 80177

Levetiracetam

Facilitymedian $35 · 10th–90th $12–$1020%10%10th90th$35Professionalmedian $11 · 10th–90th $7–$200%10%20%10th90th$11$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 / $39.81 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.96 / $16.22
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $8.13 / $9.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $34.67 / $36.31
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $16.98 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $15.14 / $30.90
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $22.91
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $9.12 / $21.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $13.18 / $15.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $7.94 / $22.39