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Vermont rates for HCPCS 80177

Levetiracetam

Facilitymedian $162 · 10th–90th $13–$2240%10%20%10th90th$162Professionalmedian $22 · 10th–90th $10–$220%50%10th$22$5.0$10.0$20.0$50.0$100.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $223.87 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $21.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $162.18 / $181.97
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $16.22
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $186.21 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $18.20 / $20.42
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $13.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $4.68 / $4.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $15.49 / $36.31