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Indiana rates for HCPCS J1956

Injection, levofloxacin, 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $11.48 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.51 / $3.24 / $5.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.14 / $4.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.51 / $2.51 / $4.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $2.51 / $2.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.14 / $2.14 / $2.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.14 / $3.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $1.70 / $1.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.14 / $2.88