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Alaska rates for HCPCS J1956

Injection, levofloxacin, 250 mg

Facilitymedian $8 · 10th–90th $2–$1350%20%10th90th$8Professionalmedian $2 · 10th–90th $2–$150%50%90th$2$2.0$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $63.10 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $14.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.14 / $2.14
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $2.14 / $93.33
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.14 / $6.92
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $11.22
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $5.75
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.34 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $3.24 / $162.18