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South Dakota rates for HCPCS J1955

Injection, levocarnitine, per 1 g

Facilitymedian $23 · 10th–90th $23–$470%50%10th90th$23Professionalmedian $23 · 10th–90th $23–$300%50%10th90th$23$10.0$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
$22.91 / $22.91 / $46.77
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $29.51
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $37.15 / $66.07
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $24.55 / $24.55
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $23.44 / $26.92
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44