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Pennsylvania rates for HCPCS 80177

Levetiracetam

Facilitymedian $41 · 10th–90th $17$980%10%10th90th$41Professionalmedian $11 · 10th–90th $7$300%20%40%10th90th$11$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$18.20 / $43.65 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.00 / $38.02
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $30.90 / $1,047.13
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $87.10 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $12.59
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $20.42 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $16.98 / $31.62
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $10.72 / $19.05
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $13.18
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $14.45 / $22.91
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $30.90 / $61.66
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $8.71 / $10.96
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $26.92 / $60.26
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $27.54 / $69.18
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.00 / $15.85
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $19.95 / $21.88
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $17.78 / $20.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $13.18 / $15.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $10.00 / $22.39