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Kentucky rates for HCPCS 80177

Levetiracetam

Facilitymedian $47 · 10th–90th $13–$1860%5%10%10th90th$47Professionalmedian $10 · 10th–90th $7–$180%10%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 / $47.86 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.00 / $13.18
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $6.61 / $8.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $13.18 / $13.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $18.20
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $15.85 / $18.62
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $15.85 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $25.12 / $28.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $31.62 / $64.57
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $7.24 / $7.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $13.18 / $22.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $10.96 / $18.20