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Michigan rates for HCPCS J1955

Injection, levocarnitine, per 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.32 / $25.02 / $78.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $24.32 / $29.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.18 / $52.58 / $99.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.85 / $24.05 / $24.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $23.61 / $23.61
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.61 / $42.81 / $69.62
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $24.32 / $29.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.15 / $27.93 / $28.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $25.05