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Virginia rates for HCPCS J1955

Injection, levocarnitine, per 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.61 / $27.86 / $55.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $24.79 / $24.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $23.61
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.77 / $47.54 / $71.73
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.07 / $28.33 / $43.57
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.65 / $34.86 / $37.45
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $9.00 / $9.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.43 / $28.57 / $40.65
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.43 / $28.57 / $40.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.90 / $23.61 / $29.63