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Kansas rates for HCPCS J1955

Injection, levocarnitine, per 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.78 / $37.45 / $106.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $25.50 / $37.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.26 / $43.16 / $45.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.52 / $25.52 / $25.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.27 / $22.27 / $23.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $23.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.39 / $36.10 / $37.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.29 / $24.29 / $38.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $34.86