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Kentucky rates for HCPCS J1955

Injection, levocarnitine, per 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.61 / $23.61 / $40.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $24.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.72 / $27.84 / $27.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.05 / $23.61 / $23.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.61 / $25.66 / $37.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $25.97 / $36.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.61 / $23.61 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.82 / $23.61 / $57.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $23.61