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California rates for HCPCS J1956

Injection, levofloxacin, 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.56 / $15.14 / $291.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $2.54 / $3.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.96 / $2.69 / $3.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $2.54 / $9.41
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.29 / $5.56 / $10.19
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.71 / $3.71 / $9.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.39 / $2.39 / $2.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $3.05 / $5.76
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.39 / $2.54 / $3.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $5.49
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $6.54