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Alaska rates for HCPCS J1953

Injection, levetiracetam, 10 mg

Facilitymedian $68 · 10th–90th $0–$2450%20%10th90th$68Professionalmedian $2 · 10th–90th $0–$20%50%10th$2$0.1$0.2$1.0$5.0$20.0$100.0$500.0

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
$45.71 / $87.10 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.03 / $0.03 / $0.03
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $58.88 / $245.47
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.03 / $0.07 / $60.26
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.06 / $0.06 / $0.15
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.07 / $0.07 / $0.10
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.03 / $0.03 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.04 / $0.06 / $338.84