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Nebraska rates for HCPCS 80177

Drug Screen Quantitative Levetiracetam

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.42 / $104.30 / $295.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $9.58 / $9.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.40 / $121.87 / $237.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.07 / $20.14 / $21.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.00 / $21.00 / $21.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.28 / $19.10 / $30.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.75 / $40.45 / $227.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.95 / $7.95 / $26.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.23 / $27.01 / $37.97
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.91 / $29.04 / $38.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.55 / $7.95 / $26.50