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Iowa rates for HCPCS J1953

Injection, levetiracetam, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $16.23 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.05 / $0.05
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $0.12 / $1.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $0.07 / $1.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.12 / $0.31
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,010.10 / $6,688.99 / $11,553.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.04
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.05
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.05