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Texas rates for HCPCS 80177

Levetiracetam

Facilitymedian $49 · 10th–90th $12$1550%5%10th90th$49Professionalmedian $10 · 10th–90th $7$170%10%20%10th90th$10$2.0$10.0$50.0$200.0

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
$11.48 / $60.26 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.00 / $16.98
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $8.13 / $9.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $40.74 / $75.86
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.24 / $13.18
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $16.60 / $24.55
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $13.18 / $19.95
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $13.49 / $13.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $28.84 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $9.12 / $22.39
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $85.11 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.30
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $13.80 / $128.82
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $11.75 / $19.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $11.22 / $11.22
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $13.18 / $38.90
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $9.12 / $19.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $13.18 / $15.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $7.59 / $18.20
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $6.92 / $13.18