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Michigan rates for HCPCS 80355

Gabapentin, non-blood

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $44.67
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $20.42 / $20.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $11.22 / $11.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $11.22 / $11.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $23.44 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $23.99
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $44.67 / $50.12
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $21.88 / $28.84
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $12.02 / $21.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $10.47 / $15.49