go back

Texas rates for HCPCS J1956

Injection, levofloxacin, 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $22.06 / $251.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.56 / $2.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $3.37 / $7.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.44 / $1.44
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.96 / $7.36 / $16.30
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.89 / $6.89 / $6.89
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $10.90 / $71.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $2.54 / $4.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.39 / $2.54 / $5.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.54 / $3.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $1.89 / $3.43