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Louisiana rates for HCPCS J1955

Injection, levocarnitine, per 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.84 / $25.50 / $60.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.84 / $29.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.57 / $14.19 / $40.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.82 / $26.82 / $27.36
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $43.57