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Tennessee rates for HCPCS J1955

Injection, levocarnitine, per 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.61 / $35.71 / $52.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $29.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.80 / $42.80 / $42.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.61 / $23.61 / $23.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $23.61
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $260.70 / $260.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $37.03