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Minnesota rates for HCPCS J1955

Injection Levocarnitine Per 1 Gm (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.61 / $23.61 / $48.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $54.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.14 / $35.32 / $48.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.43 / $24.29 / $35.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.27 / $89.94 / $109.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.07 / $31.53 / $33.13
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.08 / $82.08 / $103.01
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.83 / $24.83 / $33.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.69 / $24.29 / $43.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.29 / $24.29 / $41.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $43.77