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Minnesota rates for HCPCS 80177

Levetiracetam

Facilitymedian $54 · 10th–90th $13–$1230%10%10th90th$54Professionalmedian $13 · 10th–90th $10–$400%20%10th90th$13$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
$23.99 / $109.65 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $12.02 / $87.10
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $83.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $13.18 / $13.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $48.98 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $19.50 / $25.70
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $41.69 / $87.10
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $25.70
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $37.15 / $120.23
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $13.18 / $83.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $15.85 / $50.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $13.18 / $29.51