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Wyoming rates for HCPCS J1955

Injection, levocarnitine, per 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.29 / $24.29 / $24.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $24.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.38 / $42.80 / $42.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.27 / $22.27 / $22.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $33.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $23.61