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Arkansas rates for HCPCS J1956

Injection, levofloxacin, 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $7.09 / $45.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.35 / $2.54 / $3.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.13 / $2.13 / $2.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $2.13 / $2.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $2.54 / $2.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $4.28