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Utah rates for HCPCS J1956

Injection, levofloxacin, 250 mg

Facilitymedian $35 · 10th–90th $20–$1510%10%20%10th90th$35Professionalmedian $2 · 10th–90th $2–$20%50%10th90th$2$0.5$2.0$10.0$50.0$200.0

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
$19.95 / $40.74 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $2.00 / $2.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.48 / $2.51 / $3.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.14 / $2.14
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $2.24 / $2.24
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.14 / $2.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.14 / $2.14