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Missouri rates for HCPCS J1955

Injection, levocarnitine, per 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.29 / $37.45 / $44.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $24.32 / $44.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.73 / $40.14 / $62.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $29.51
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.78 / $43.46 / $260.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.65 / $24.29 / $28.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $29.44