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Levetiracetam Injection

Montana rates for HCPCS J1953

Injection, levetiracetam, 10 mg

Rates data updated July 2026.

Facilitymedian $0 · 10th–90th $0$60%20%10th90th$0Professionalmedian $0 · 10th–90th $0$00%20%10th90th$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
Setting
Facility
Modifier
Global
Typical Low
$0.28
Median
$1.00
Typical High
$5.75
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.03
Median
$0.04
Typical High
$0.17
BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.21
Median
$0.56
Typical High
$89,125.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.06
Median
$0.06
Typical High
$0.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.03
Median
$0.03
Typical High
$0.06
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$0.07
Median
$0.08
Typical High
$0.24
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$0.07
Median
$0.08
Typical High
$0.24
Providence
Setting
Facility
Modifier
Global
Typical Low
$0.06
Median
$0.06
Typical High
$0.40
Providence
Setting
Professional
Modifier
Global
Typical Low
$0.03
Median
$79.43
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$0.04
Median
$0.04
Typical High
$0.04