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North Dakota rates for HCPCS 80177

Drug Screen Quantitative Levetiracetam

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.45 / $76.09 / $184.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.02 / $9.58 / $13.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.02 / $26.70 / $29.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.28 / $15.43 / $19.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.41 / $19.88 / $35.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.33 / $15.90 / $22.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.57 / $14.91 / $22.73