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South Carolina rates for HCPCS J1955

Injection, levocarnitine, per 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.79 / $24.79 / $103.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.79 / $34.17 / $39.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.50 / $23.56 / $44.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $37.65 / $46.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.27 / $22.27 / $23.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $23.61
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.48 / $27.27 / $70.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $23.61