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Montana rates for HCPCS J1956

Injection, levofloxacin, 250 mg

Facilitymedian $2 · 10th–90th $1–$1260%20%10th90th$2Professionalmedian $2 · 10th–90th $2–$40%50%10th90th$2$1.0$10.0$100.0$1.0K$10.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $28.18 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $4.27
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $64,565.42 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.68 / $1.17 / $1.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.17 / $2.14 / $2.14
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.02 / $1.05 / $3.80
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $1.05 / $3.80
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.68 / $1.17 / $1.17
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $3.09 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.14 / $2.14