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Arizona rates for HCPCS J1953

Injection, levetiracetam, 10 mg

Facilitymedian $81 · 10th–90th $0–$1,0000%5%10%10th90th$81Professionalmedian $0 · 10th–90th $0–$370%20%10th90th$0$0.1$0.5$5.0$50.0$500.0$5.0K

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
$30.90 / $123.03 / $1,148.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $37.15
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.04 / $0.15 / $0.27
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.04 / $0.08 / $0.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $0.05 / $0.06
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.03 / $0.03 / $0.03
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.05 / $0.17 / $75.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.05 / $0.05 / $0.05
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $0.08 / $0.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.04 / $0.04 / $0.05