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Nebraska rates for HCPCS J1953

Injection, levetiracetam, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.11 / $402.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.05 / $0.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.05 / $0.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.13 / $0.13 / $0.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.56 / $2.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $0.10 / $0.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.14 / $0.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.04