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New Jersey rates for HCPCS 80177

Levetiracetam

Facilitymedian $47 · 10th–90th $13–$1450%10%10th90th$47Professionalmedian $10 · 10th–90th $7–$150%20%10th90th$10$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$13.18 / $46.77 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.96 / $15.14
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $9.12
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $41.69 / $1,348.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $28.84 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $10.96 / $37.15
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $6.61 / $15.14
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $10,471.29 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $11.75 / $14.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.17 / $13.18 / $26.92
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $7.94 / $18.20