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South Carolina rates for HCPCS J1956

Levofloxacin Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.05 / $84.28 / $268.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.84 / $2.66 / $2.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $25.54 / $70.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $2.54 / $8.67
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 / $2.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.66 / $2.93 / $27.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54