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North Dakota rates for HCPCS 80177

Levetiracetam

Facilitymedian $71 · 10th–90th $20–$1740%10%10th90th$71Professionalmedian $13 · 10th–90th $7–$720%10%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 / $70.79 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $12.02 / $79.43
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $26.30 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $19.50
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $23.44 / $35.48
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $9.33 / $22.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $13.80 / $21.38