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Massachusetts rates for HCPCS J1953

Injection, levetiracetam, 10 mg

Facilitymedian $25 · 10th–90th $0–$1780%5%10%10th90th$25Professionalmedian $0 · 10th–90th $0–$00%50%90th$0$0.1$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$5.01 / $38.90 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.08 / $0.10 / $0.16
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.03 / $0.04 / $0.23
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $0.03 / $0.06
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.04 / $0.06 / $0.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.03 / $0.03 / $0.15
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $0.04 / $6,918.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.03 / $0.03 / $0.05
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.49 / $12.59 / $17.38
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.08 / $0.10 / $0.16
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.03 / $0.04 / $0.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.05 / $0.08 / $0.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.03 / $0.04 / $0.23