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New York rates for HCPCS 80355

Gabapentin, non-blood

Facilitymedian $19 · 10th–90th $18$1020%20%40%10th90th$19Professionalmedian $10 · 10th–90th $4$210%20%10th90th$10$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $19.05 / $19.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $3.72 / $15.14
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $9.12 / $9.12
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $9.12 / $9.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $51.29 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $26.30 / $114.82
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $21.38
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $23.44 / $25.70
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $25.12
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $53,703.18 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $17.78 / $28.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $16.60 / $43.65
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $26.30
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $23.44 / $27.54