go back

Tennessee rates for HCPCS J1956

Injection, levofloxacin, 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $7.09 / $111.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.54 / $2.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $10.19 / $10.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $4.04