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Rhode Island rates for HCPCS 80177

Drug Screen Quantitative Levetiracetam

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.70 / $51.98 / $124.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.02 / $9.58 / $13.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.61 / $16.30 / $18.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.94 / $9.94 / $25.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.64 / $39.09 / $55.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.94 / $15.28 / $19.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.57 / $9.05 / $26.22