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Tennessee rates for HCPCS 80177

Levetiracetam

Facilitymedian $78 · 10th–90th $10–$3020%10%10th90th$78Professionalmedian $10 · 10th–90th $7–$240%20%10th90th$10$5.0$20.0$100.0$500.0

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
$10.96 / $77.62 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.00 / $26.30
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $8.13 / $34.67
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $18.20 / $18.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $26.92 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $9.77 / $19.95
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $85.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $13.18 / $13.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $10.72 / $22.39