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Mississippi rates for HCPCS 80177

Levetiracetam

Facilitymedian $115 · 10th–90th $13–$3020%20%10th90th$115Professionalmedian $12 · 10th–90th $9–$260%20%10th90th$12$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 / $117.49 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.02 / $25.70
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $9.33
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $21.38
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $18.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $12.88 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $12.30 / $26.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $13.18 / $21.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $9.12 / $26.92