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Texas rates for HCPCS J1955

Injection, levocarnitine, per 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.61 / $42.93 / $58.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.84 / $39.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.20 / $75.45 / $164.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.66 / $24.66 / $24.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.27 / $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
$85.00 / $260.70 / $260.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.73 / $24.29 / $34.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.22 / $23.61 / $46.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.13 / $23.61 / $33.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.31 / $23.61 / $42.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $23.61
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.29 / $25.56 / $31.87