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Alaska rates for HCPCS J1955

Injection, levocarnitine, per 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.34 / $44.73 / $158.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.53 / $43.91 / $56.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $23.61
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.79 / $62.79 / $62.79
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $76.02
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.59 / $59.92 / $94.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.10 / $62.79 / $141.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $25.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $35.42 / $47.63