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Arizona rates for HCPCS J1956

Injection, levofloxacin, 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $10.92 / $131.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $2.54 / $2.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.57 / $5.05 / $11.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.90 / $16.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.39 / $2.54 / $2.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.96 / $3.58 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $1.96 / $1.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54