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New Jersey rates for HCPCS J1955

Injection, levocarnitine, per 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.60 / $34.25 / $239.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $23.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.27 / $35.38 / $45.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $23.61
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,702.00 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.29 / $24.29 / $38.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $28.93