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Minnesota rates for HCPCS J1956

Injection, levofloxacin, 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $28.00 / $272.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $2.54 / $2.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $1.00 / $3.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $1.86 / $1.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.15 / $3.70 / $4.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.33 / $1.55
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $3.38 / $4.24
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.05 / $1.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.84 / $13.65 / $38.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $1.96 / $3.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $2.54 / $4.59