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Georgia rates for HCPCS J1956

Injection, levofloxacin, 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $32.79 / $127.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $2.54 / $2.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $2.76 / $2.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $2.54 / $2.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $2.54 / $4.98
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
$0.66 / $22.07 / $22.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $4.45