What is Injection Levocarnitine per 1 Gm (HCPCS J1955)?

Injection, levocarnitine, per 1 gm. This clinical code is utilized across practices and hospitals for diagnostic and therapeutic service documentation.

What do doctors typically charge for Injection Levocarnitine per 1 Gm?

The nationwide median physician charge for Injection Levocarnitine per 1 Gm (HCPCS J1955) is $68.23. Doctor billed charges vary based on geographic region, setting, and overhead.

What is the standard insurance baseline for HCPCS J1955?

The standard insurance baseline reimbursement rate is $31.46. This represents the customary allowable amount established across standard fee schedules.

Home/Procedures/Injection Levocarnitine per 1 Gm

HCPCS J1955Medical Service

Injection Levocarnitine per 1 Gm

Injection, levocarnitine, per 1 gm. Clinical pricing breakdown and utilization metrics across 72 practicing doctors nationwide.

$68.23

Peer Median Charge

Gross billed rate

$31.46

Standard Baseline

Customary allowable

2.2x

National Markup

Charge vs baseline

Active Physicians

Billing this code

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Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $68.23. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $31.46 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:

"Does Dr. [Name] participate in my specific insurance plan network?"
"What is the total self-pay or cash rate for code J1955 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"