go back

New York rates for HCPCS 80177

Drug Screen Quantitative Levetiracetam

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.25 / $28.03 / $75.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.02 / $9.65 / $13.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.25 / $13.25 / $34.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.54 / $8.08 / $23.67
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.95 / $13.25 / $13.25
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.67 / $13.25 / $13.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.26 / $26.86 / $34.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.76 / $14.98 / $63.87
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.00 / $19.03 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.06 / $7.95 / $24.25
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.61 / $10.61 / $10.61
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.61 / $12.59 / $16.35
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.49 / $8.49 / $8.49
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.58 / $21.78 / $59.02
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.83 / $8.83 / $8.83
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.73 / $32.14 / $254.50
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $15.63 / $27.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.57 / $7.95 / $22.15
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.24 / $15.24 / $28.59
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $13.89 / $18.27