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Hawaii rates for HCPCS J1955

Injection, levocarnitine, per 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.08 / $56.08 / $56.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.07 / $56.07 / $56.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $23.61
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.32 / $37.32 / $37.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.97 / $28.33 / $33.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $30.68 / $35.42
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.80 / $30.00 / $38.97