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North Carolina rates for HCPCS J1955

Injection, levocarnitine, per 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.12 / $34.17 / $40.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $34.17 / $36.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.14 / $19.38 / $55.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.29 / $24.29 / $29.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.61 / $23.61 / $23.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $42.80
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.10 / $34.17 / $47.08
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.24 / $6.24 / $6.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $36.60
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $260.70