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Nebraska rates for HCPCS 80177

Levetiracetam

Facilitymedian $55 · 10th–90th $18$2820%10%20%10th90th$55Professionalmedian $11 · 10th–90th $8$870%20%10th90th$11$5.0$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
$21.38 / $56.23 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.00 / $87.10
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $97.72 / $190.55
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $20.42 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $25.70 / $31.62
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $40.74 / $239.88
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $7.94 / $14.45
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $27.54
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $16.22
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $7.94 / $17.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.94 / $14.45