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Idaho rates for HCPCS J1956

Levofloxacin Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.96 / $34.99 / $52.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $2.54 / $3.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.39 / $2.54 / $2.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.79 / $3.57 / $20.56
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $3.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.05 / $3.05 / $3.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $4.05