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South Carolina rates for HCPCS J1953

Injection, levetiracetam, 10 mg

Facilitymedian $81 · 10th–90th $32$2750%10%20%10th90th$81Professionalmedian $0 · 10th–90th $0$00%20%40%10th90th$0$0.1$0.2$1.0$5.0$20.0$100.0$500.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $89.13 / $275.42
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.36 / $1.00 / $14.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.03 / $0.04 / $0.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $0.05 / $0.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.03 / $0.03 / $0.03
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.04 / $0.05 / $0.18
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $0.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.04 / $0.04 / $0.06