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North Carolina rates for HCPCS 80177

Levetiracetam

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.46 / $78.65 / $178.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.02 / $9.59 / $18.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $9.21 / $9.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.74 / $53.24 / $53.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.96 / $9.27 / $12.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.98 / $11.01 / $34.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.89 / $9.05 / $19.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.02 / $9.66 / $17.01
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.63 / $18.09 / $18.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.37 / $9.05 / $18.09
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.30 / $62.94 / $62.94