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Iowa rates for HCPCS J1955

Injection, levocarnitine, per 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.65 / $37.45 / $53.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $37.45 / $54.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.83 / $29.25 / $31.03
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.91 / $23.61 / $113.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $31.22 / $37.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.12 / $24.29 / $38.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $29.25 / $36.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.94 / $29.15 / $46.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $25.97
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.29 / $24.29 / $24.29
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.29 / $24.29 / $24.29