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Oklahoma rates for HCPCS J1956

Injection, levofloxacin, 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.12 / $32.34 / $88.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.74 / $2.74 / $2.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.97 / $3.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $2.22 / $2.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.39 / $2.39 / $2.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $5.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $2.33 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.96 / $2.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.59