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Virginia rates for HCPCS J1956

Injection, levofloxacin, 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.81 / $39.75 / $151.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.66 / $2.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $1.45 / $2.19
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.16 / $3.05 / $4.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $2.54 / $23.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.41 / $3.07 / $4.80
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.41 / $3.07 / $4.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $2.54 / $3.19