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Kentucky rates for HCPCS 80177

Levetiracetam

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.86 / $58.94 / $229.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.02 / $9.58 / $13.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $6.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.25 / $13.25 / $18.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.54 / $6.54 / $18.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.25 / $15.90 / $18.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.25 / $16.04 / $26.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.61 / $10.11 / $25.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.77 / $15.90 / $63.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.29 / $7.29 / $7.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.74 / $10.85 / $18.09