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North Carolina rates for HCPCS 80177

Levetiracetam

Facilitymedian $69 · 10th–90th $13–$1660%5%10%10th90th$69Professionalmedian $11 · 10th–90th $7–$310%10%20%10th90th$11$10.0$20.0$50.0$100.0$200.0$500.0

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
$12.59 / $77.62 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $12.02 / $30.90
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $9.12 / $9.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $39.81 / $56.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $9.33 / $11.75
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $27.54 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $8.71 / $19.95
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $9.55 / $13.80
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $16.22
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $17.38 / $21.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $9.12 / $18.20
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $85.11