Levocarnitine injection, per gram

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

LEVOCARNITINE 200 MG/ML INTRAVENOUS SOLUTION

Payers reporting HCPCS J1955

Payer pricing summary

Low

$27

Average

$129

Median

$115

High

$611

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +25 other terms	412	$38	$47	$32	68%	—	$1 – $545
2	Cigna fee schedule · outpatient · +21 other terms	339	$45	$64	$49	76%	—	$1 – $454
3	Blue Cross Blue Shield fee schedule · outpatient · +25 other terms	243	$60	$69	$48	70%	—	$0 – $228
4	Aetna fee schedule · outpatient · +24 other terms	228	$49	$58	$57	99%	—	$1 – $521
5	Humana fee schedule · outpatient · +19 other terms	169	$28	$78	$86	111%	—	$1 – $536
6	Anthem fee schedule · outpatient · +20 other terms	71	$35	$38	$19	49%	—	$23 – $167
7	Caresource fee schedule · outpatient · +14 other terms	48	$28	$31	$14	45%	—	$1 – $88
8	MultiPlan fee schedule · outpatient · +15 other terms	46	$108	$138	$131	95%	—	$1 – $536
9	Highmark facility · fee schedule · outpatient · +12 other terms	43	$34	$140	$126	90%	—	$23 – $538
10	Kaiser fee schedule · both · +15 other terms	43	$30	$30	$8	27%	—	$15 – $41
11	Molina fee schedule · outpatient · +22 other terms	34	$62	$51	$32	62%	—	$1 – $205
12	Tricare facility · fee schedule · outpatient · +9 other terms	33	$23	$32	$37	116%	—	$17 – $199
13	Medcost facility · percent of total billed charges · bothfrom % of charges · +5 other terms	30	$95	$86	$36	43%	—	$9 – $141
14	Medica fee schedule · outpatient · +14 other terms	27	$67	$74	$29	39%	—	$3 – $171
15	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	26	$147	$131	$21	16%	—	$102 – $159
16	Amerihealth Caritas facility · fee schedule · outpatient · +9 other terms	25	$24	$25	$5	21%	—	$23 – $44
17	Bcbs Tx fee schedule · outpatient · +3 other terms	23	$142	$132	$37	28%	—	$53 – $226
18	Regence professional · fee schedule · outpatient · +13 other terms	21	$30	$30	$1	2%	—	$28 – $30
19	Beechstreet percent of total billed charges · outpatientfrom % of charges · +3 other terms	20	$145	$175	$60	34%	—	$113 – $325
20	Healthpartners fee schedule · outpatient · +6 other terms	19	$31	$31	$1	5%	—	$30 – $38
21	Oscar facility · fee schedule · outpatient · +11 other terms	19	$25	$27	$3	10%	—	$23 – $30
22	Phcs fee schedule · inpatient · +10 other terms	19	$90	$106	$96	91%	—	$53 – $613
23	Medicaid facility · fee schedule · outpatient · +10 other terms	18	$28	$26	$7	29%	—	$7 – $36
24	Bcbs La fee schedule · outpatient · +3 other terms	17	$30	$28	$3	12%	—	$23 – $30
25	Premera fee schedule · outpatient · +8 other terms	17	$61	$63	$28	45%	—	$44 – $244

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