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Kentucky rates for HCPCS J1956

Injection, levofloxacin, 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $10.63 / $62.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.87 / $2.99 / $3.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.15 / $2.54 / $2.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $2.79 / $4.05
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.67 / $3.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $2.54 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $2.54 / $21.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.54 / $2.54