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Massachusetts rates for HCPCS 80177

Drug Screen Quantitative Levetiracetam

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.47 / $75.84 / $166.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.02 / $9.65 / $13.25
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.09 / $23.06 / $62.94
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.95 / $13.25 / $32.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.15 / $36.86 / $64.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.46 / $12.46 / $16.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.26 / $15.05 / $30.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.81 / $15.28 / $22.60
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.00 / $3,472.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.14 / $19.14 / $22.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.25 / $18.36 / $49.35
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.37 / $17.27 / $127.99
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.06 / $62.94 / $62.94
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.96 / $7.95 / $27.14
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.52 / $14.91 / $21.60
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.68 / $13.67 / $16.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.63 / $11.93 / $31.61