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New Jersey rates for HCPCS J1953

Injection, levetiracetam, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $21.37 / $66.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.04
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $930.88 / $1,600.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.12 / $0.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.04
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.05