go back

Massachusetts rates for HCPCS J1956

Injection, levofloxacin, 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $6.26 / $29.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.35 / $2.54 / $2.64
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.55 / $6.81 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $4.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.73 / $3.24 / $6.91
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $53.00 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $5.38
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $4.49 / $30.35
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $4.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $4.04