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Missouri rates for HCPCS J1956

Injection, levofloxacin, 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.61 / $10.71 / $51.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.59 / $10.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.57 / $2.77 / $6.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $3.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.39 / $2.39 / $2.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.13 / $4.17 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.96 / $2.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.54 / $3.17