go back

South Dakota rates for HCPCS J1953

Injection, levetiracetam, 10 mg

Facilitymedian $72 · 10th–90th $0–$3980%20%10th90th$72Professionalmedian $0 · 10th–90th $0–$00%50%10th$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
$14.13 / $72.44 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.05 / $0.05 / $0.06
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.04 / $0.04 / $0.05
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.06 / $0.08 / $0.34
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.04 / $0.05 / $0.06
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.06 / $0.06 / $0.06
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.05 / $0.05 / $0.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.04 / $0.04 / $0.07
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.04 / $0.04 / $0.04