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Virginia rates for HCPCS J1953

Injection, levetiracetam, 10 mg

Facilitymedian $47 · 10th–90th $8–$2950%10%10th90th$47Professionalmedian $0 · 10th–90th $0–$00%50%90th$0$0.0$0.2$2.0$20.0$200.0

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
$8.71 / $46.77 / $295.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.03 / $0.03 / $0.05
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.06 / $0.07 / $0.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.04 / $0.06 / $0.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.03 / $0.03 / $0.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.03 / $0.04 / $0.26
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.43
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.04 / $0.04 / $0.20
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $0.04 / $0.06
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.03 / $0.04 / $0.06
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $0.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.04 / $0.04 / $0.06