go back

South Dakota rates for HCPCS J1956

Injection, levofloxacin, 250 mg

Facilitymedian $3 · 10th–90th $2–$2690%20%10th90th$3Professionalmedian $2 · 10th–90th $2–$30%50%90th$2$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $10.00 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.40
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.02 / $1.05 / $1.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $2.19 / $2.75
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $3.31 / $95.50
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $1.95 / $2.51
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $2.34 / $2.34
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $2.34 / $2.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $2.14 / $2.51
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $2.14 / $2.51