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Mississippi rates for HCPCS J1955

Injection, levocarnitine, per 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $23.99 / $28.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $26.92
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $9.77 / $10.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $23.44 / $23.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $23.44 / $23.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $23.44 / $41.69