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Oregon rates for HCPCS J1953

Levetiracetam Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $17.82 / $95.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.05 / $0.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.08 / $0.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.71 / $0.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.06 / $0.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.50
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.06 / $0.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.09 / $0.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.06 / $0.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.04