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New Hampshire rates for HCPCS J1955

Injection, levocarnitine, per 1 g

Facilitymedian $30 · 10th–90th $23–$620%10%20%10th90th$30Professionalmedian $23 · 10th–90th $23–$430%50%10th90th$23$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $26.30 / $46.77
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $23.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $47.86 / $85.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $26.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $45.71 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $38.02 / $43.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $23.44 / $35.48