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New York rates for HCPCS J1956

Injection, levofloxacin, 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.16 / $4.84 / $16.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.98 / $2.54 / $2.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $2.54 / $5.41
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.03 / $1.03 / $1.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $2.39 / $2.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.39 / $3.59 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $2.75 / $5.05
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.63
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.63
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.86 / $3.47 / $9.18
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $2.39 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $2.54 / $3.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $4.58
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.63 / $2.63 / $2.63
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.63 / $5.72