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Kansas rates for HCPCS J1956

Injection, levofloxacin, 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.17 / $30.30 / $123.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.59 / $3.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.41 / $9.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.22 / $3.22
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $2.98 / $19.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.96 / $3.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $4.05