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New Hampshire rates for HCPCS J1956

Injection, levofloxacin, 250 mg

Facilitymedian $6 · 10th–90th $2–$510%10%10th90th$6Professionalmedian $2 · 10th–90th $2–$40%50%10th90th$2$0.2$1.0$5.0$20.0

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
$2.14 / $7.24 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.09 / $4.47 / $7.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.14 / $2.45
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $4.27 / $6.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.14 / $2.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $3.80 / $4.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.20 / $2.14 / $4.37