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Illinois rates for HCPCS J1956

Injection, levofloxacin, 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.87 / $17.32 / $104.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $2.54 / $2.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.71 / $8.91 / $19.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $6.11 / $31.22
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.30 / $3.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $3.40