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Mississippi 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
$24.79 / $28.33 / $29.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $24.79 / $31.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.69 / $9.69 / $10.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.44 / $23.61 / $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
$22.67 / $23.61 / $30.69