go back

Alaska rates for HCPCS J1953

Injection, levetiracetam, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $63.70 / $245.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.07 / $0.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $4.26 / $191.09
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.13
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.11 / $0.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.11 / $0.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.06 / $0.08