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Oregon rates for HCPCS J1956

Injection, levofloxacin, 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.96 / $35.18 / $97.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $2.38 / $2.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $2.39 / $2.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $4.25 / $5.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $3.63 / $11.22
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.69 / $3.30
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.96 / $2.54 / $5.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $2.67 / $5.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $2.54 / $4.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.92