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Rhode Island rates for HCPCS J1956

Levofloxacin Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.18 / $8.26 / $36.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.96 / $1.96 / $4.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.39 / $2.54 / $2.54
Cigna
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 / $19.89