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Washington, DC rates for HCPCS J1956

Levofloxacin Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $7.32 / $7.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.96 / $2.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.39 / $2.39 / $2.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.16 / $2.16 / $2.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $2.54 / $4.12