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Vermont rates for HCPCS 80177

Drug Screen Quantitative Levetiracetam

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.43 / $22.43 / $22.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.00 / $178.26 / $183.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.36 / $16.36 / $16.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.17 / $22.17 / $187.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.57 / $15.28 / $20.72
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.17 / $22.17 / $187.80
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.57 / $15.28 / $20.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.95 / $10.85 / $35.93