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North Dakota rates for HCPCS J1955

Injection, levocarnitine, per 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.61 / $23.61 / $43.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $29.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.61 / $25.74 / $26.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.77 / $25.70 / $25.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.83 / $24.83 / $31.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.29 / $35.42 / $41.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.29 / $24.29 / $26.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.07 / $23.61 / $31.69