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Texas rates for HCPCS J1953

Injection, levetiracetam, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $66.07 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $147.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.28 / $0.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.26
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.87 / $23.44
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.04
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $79.43 / $562.34
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.09 / $147.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.04
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $2,454.71 / $3,311.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.06 / $0.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.04