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West Virginia rates for HCPCS J1955

Injection, levocarnitine, per 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.84 / $24.53 / $37.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.83 / $24.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.61 / $35.42 / $35.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.27 / $23.61 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $57.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $43.57