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Arizona rates for HCPCS J1953

Injection, levetiracetam, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $68.40 / $704.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.06 / $0.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.14 / $0.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.05 / $0.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.17 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.04