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Massachusetts rates for HCPCS J1953

Injection, levetiracetam, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $36.15 / $178.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.06
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.16 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.08 / $0.12
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $3,472.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.08
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.28 / $12.75 / $28.97
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.24