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Massachusetts rates for HCPCS 80177

Levetiracetam

Facilitymedian $59 · 10th–90th $18$1740%10%10th90th$59Professionalmedian $13 · 10th–90th $7$380%20%10th90th$13$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$20.42 / $79.43 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $12.02 / $38.02
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $18.62 / $63.10
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $13.18 / $32.36
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $32.36 / $46.77
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $16.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $16.98 / $26.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $15.14 / $34.67
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $104.71 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $36.31
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $17.38 / $131.83
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $18.62 / $63.10
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $13.18 / $32.36
Tufts
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $15.85 / $21.38
Tufts
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $13.49 / $19.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $13.18 / $18.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $13.18 / $36.31