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North Carolina rates for HCPCS J1956

Injection, levofloxacin, 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.76 / $23.87 / $115.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.84 / $1.76 / $3.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.50 / $11.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.54 / $1.54 / $1.96
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 / $5.05
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.84 / $3.02 / $11.22
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $5.62 / $5.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $3.30
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00