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Virginia rates for HCPCS J1953

Injection, levetiracetam, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $46.19 / $292.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.04
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.08 / $0.12
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.05 / $0.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.20
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.05 / $0.07
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.05 / $0.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.05