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Louisiana rates for HCPCS J1953

Levetiracetam Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $25.32 / $182.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.37 / $0.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.06
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.00 / $25.00 / $40.00
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.08