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Idaho rates for HCPCS J1953

Injection, levetiracetam, 10 mg

Facilitymedian $12 · 10th–90th $0$1620%10%10th90th$12Professionalmedian $0 · 10th–90th $0$00%20%40%10th90th$0$0.1$0.2$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $17.78 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.13 / $0.36 / $0.71
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.03 / $0.04 / $0.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $0.04 / $0.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.03 / $0.03 / $0.03
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.04 / $11.75 / $162.18
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.03 / $0.04 / $2.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.04 / $0.04 / $0.04
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.03 / $0.03 / $0.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.04 / $0.04 / $0.06