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Nebraska rates for HCPCS J1956

Injection, levofloxacin, 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.96 / $5.61 / $272.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $2.54 / $4.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.15 / $2.87 / $2.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.73 / $2.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.31 / $2.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.72 / $31.35 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.96 / $5.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $1.46 / $2.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $2.00 / $2.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.41 / $2.54 / $3.81