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Indiana rates for HCPCS J1955

Injection, levocarnitine, per 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.84 / $66.53 / $110.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.84 / $24.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.79 / $47.22 / $70.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.05 / $23.61 / $33.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.61 / $23.61 / $35.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $29.51
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 / $76.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $34.86