go back

Maryland rates for HCPCS J1956

Injection, levofloxacin, 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $9.22 / $36.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.54 / $2.70
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $1.96 / $2.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $3.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $4.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $3.66
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $1.89 / $1.89