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Iowa rates for HCPCS J1953

Injection, levetiracetam, 10 mg

Facilitymedian $0 · 10th–90th $0–$4680%50%90th$0Professionalmedian $0 · 10th–90th $0–$00%20%10th90th$0$0.0$0.2$2.0$20.0$200.0$2.0K

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
$16.22 / $54.95 / $123.03
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
$0.04 / $0.05 / $0.05
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.04 / $0.07 / $0.60
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.06 / $0.12 / $3.09
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.05 / $0.05 / $0.24
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.07 / $0.07 / $0.10
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $7,943.28 / $11,481.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $0.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.04 / $0.04 / $0.05
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.04 / $0.04 / $0.04