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Delaware rates for HCPCS J1956

Injection, levofloxacin, 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $77.62 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $3.02 / $4.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.14 / $2.14
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $15.85 / $56.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $3.24 / $4.79