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Connecticut rates for HCPCS J1956

Injection, levofloxacin, 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.64 / $5.24 / $15.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.64 / $2.64 / $2.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.73 / $4.25 / $7.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.75 / $3.17
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.55 / $17.55 / $17.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.54 / $4.37