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Alabama rates for HCPCS J1955

Injection Levocarnitine Per 1 Gm (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.61 / $23.61 / $24.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $41.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $31.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.61 / $23.61 / $23.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $37.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $23.61