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Iowa rates for HCPCS J1956

Levofloxacin Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.22 / $10.19 / $90.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $2.54 / $10.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.05 / $1.31
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $4.07 / $22.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $2.35 / $10.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.25 / $1.96 / $3.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $2.08 / $2.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $2.16 / $4.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.79
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.96 / $1.96 / $1.96
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $1.96 / $1.96