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West Virginia rates for HCPCS 80177

Drug Screen Quantitative Levetiracetam

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.65 / $55.80 / $60.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.94 / $10.73 / $10.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.25 / $17.89 / $21.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.25 / $16.55 / $17.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.76 / $25.30 / $39.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.04 / $19.10 / $63.87
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.65 / $52.57 / $79.16
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.95 / $7.95 / $17.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.96 / $7.60 / $21.20