Levetiracetam injection

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

LEVETIRACETAM IN NACL 500 MG/100ML IV SOLN

Payers reporting HCPCS J1953

Payer pricing summary

Low

Average

$94

Median

$33

High

$931

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Florida Blue percent of total billed charges · bothfrom % of charges	1	$11	$11	$2	22%	473	$8 – $16
2	Blue Cross Blue Shield fee schedule · outpatient · +30 other terms	335	$0	$5	$28	557%	274–1,309	$0 – $939
3	Aetna fee schedule · outpatient · +27 other terms	291	$0	$29	$115	400%	255–1,191	$0 – $2.0k
4	Cigna fee schedule · outpatient · +23 other terms	421	$0	$16	$66	407%	219–2,082	$0 – $2.0k
5	Anthem fee schedule · outpatient · +26 other terms	136	$0	$4	$19	543%	138–1,263	$0 – $374
6	UnitedHealthcare fee schedule · outpatient · +29 other terms	530	$0	$16	$68	417%	116–1,160	$0 – $1.6k
7	Wellmark fee schedule · outpatient · +16 other terms	33	$0	$1	$14	1572%	83–299	$0 – $237
8	WellCare other · outpatient · +16 other terms	18	$79	$143	$96	67%	53–98	$8 – $244
9	Kaiser fee schedule · both · +15 other terms	50	$0	$18	$175	947%	25–115	$0 – $1.7k
10	Molina fee schedule · outpatient · +25 other terms	60	$0	$20	$64	327%	14–41	$0 – $671
11	Bcbs Al facility · other · outpatient · +1 other terms	5	$12	$12	$6	45%	14	$5 – $20
12	Superior Healthplan facility · other · outpatient · +7 other terms	6	$4	$17	$42	256%	12–120	$0 – $145
13	Caresource fee schedule · outpatient · +16 other terms	69	$0	$11	$34	302%	6–60	$0 – $136
14	Optum other · outpatient · +16 other terms	13	$61	$67	$57	86%	6–60	$4 – $220
15	Medica fee schedule · outpatient · +17 other terms	78	$1	$5	$28	555%	1–10	$0 – $252
16	Humana fee schedule · outpatient · +22 other terms	182	$0	$37	$79	211%	—	$0 – $942
17	MultiPlan fee schedule · outpatient · +18 other terms	92	$70	$154	$233	152%	—	$0 – $1.7k
18	Highmark facility · fee schedule · outpatient · +14 other terms	45	$0	$3	$3	103%	—	$0 – $12
19	Medcost percent of total billed charges · bothfrom % of charges · +5 other terms	44	$45	$61	$92	151%	—	$0 – $473
20	Medicaid facility · fee schedule · outpatient · +11 other terms	36	$3	$9	$13	154%	—	$0 – $65
21	First Health fee schedule · outpatient · +14 other terms	35	$50	$77	$74	96%	—	$5 – $466
22	Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +3 other terms	31	$113	$111	$83	75%	—	$0 – $584
23	Regence facility · fee schedule · both · +14 other terms	29	$2	$8	$14	186%	—	$2 – $94
24	Excellus facility · fee schedule · both · +8 other terms	28	$2	$4	$7	158%	—	$2 – $28
25	Amerihealth Caritas facility · fee schedule · outpatient · +12 other terms	27	$0	$0	$0	25%	—	$0 – $0

Page 1 of 3 · 64 payers