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Maine rates for HCPCS J1956

Injection, levofloxacin, 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.30 / $9.44 / $35.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $2.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.85 / $7.85 / $7.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $3.08
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.30 / $6.54 / $49.29
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.64 / $6.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $2.54 / $3.81