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North Dakota rates for HCPCS J1956

Injection, levofloxacin, 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $4.57 / $51.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.54 / $2.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $2.76 / $2.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.77 / $2.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.06 / $1.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.92 / $3.81 / $24.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.96 / $2.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.98 / $2.54 / $2.76