go back

Maryland rates for HCPCS J1955

Injection, levocarnitine, per 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.29 / $24.29 / $195.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $32.54
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $24.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $30.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $39.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $34.06
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.56 / $25.56 / $25.56