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Indiana rates for HCPCS 80355

Gabapentin, non-blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.05 / $0.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $93.00 / $125.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $5.89 / $5.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.74 / $3.74 / $7.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.74 / $4.11 / $18.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.07 / $23.17 / $33.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.35 / $22.07 / $26.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.06 / $21.67 / $27.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.24 / $10.30 / $19.13