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Oklahoma rates for HCPCS J1955

Injection, levocarnitine, per 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.73 / $26.24 / $780.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.50 / $25.50 / $25.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.08 / $20.63 / $32.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.27 / $22.27 / $23.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $23.61 / $23.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.39 / $27.55 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $24.29 / $24.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $25.03