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New Hampshire rates for HCPCS 80355

Gabapentin, non-blood

Facilitymedian $3 · 10th–90th $1–$30%20%40%10th90th$3Professionalmedian $15 · 10th–90th $4–$280%20%10th90th$15$2.0$5.0$10.0$20.0$50.0$100.0

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
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $3.72 / $17.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.35 / $2.75 / $3.16
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $24.55 / $69.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $15.85 / $33.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $15.14 / $53.70