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Levetiracetam Injection

Utah rates for HCPCS J1953

Injection, levetiracetam, 10 mg

Rates data updated July 2026.

Facilitymedian $1 · 10th–90th $0$20%10%10th90th$1Professionalmedian $0 · 10th–90th $0$00%50%10th$0$0.1$0.2$1.0$5.0$20.0$100.0

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
Setting
Facility
Modifier
Global
Typical Low
$0.24
Median
$0.65
Typical High
$2.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.04
Median
$0.04
Typical High
$0.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.05
Median
$0.06
Typical High
$0.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.03
Median
$0.03
Typical High
$0.03
Select Health
Setting
Facility
Modifier
Global
Typical Low
$0.03
Median
$0.03
Typical High
$0.03
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$0.03
Median
$0.03
Typical High
$0.05
United
Setting
Professional
Modifier
Global
Typical Low
$0.04
Median
$0.04
Typical High
$0.04