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New York rates for HCPCS J1953

Injection, levetiracetam, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $16.98 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.04 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.87
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.04 / $0.11
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.06
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.04
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.04
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.10 / $0.45
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $0.13 / $53,703.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.07
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.05
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.27