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Oklahoma rates for HCPCS 80177

Levetiracetam

Facilitymedian $37 · 10th–90th $11$1120%10%10th90th$37Professionalmedian $10 · 10th–90th $7$130%20%10th90th$10$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$10.00 / $26.30 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.00 / $13.18
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $7.94
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $42.66 / $60.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $12.59
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $35.48 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $7.94 / $19.05
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $10.96 / $63.10
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $7.59 / $15.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $12.02 / $18.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $7.59 / $10.96