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Vermont rates for HCPCS J1956

Levofloxacin Injection

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $3.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.87 / $2.87 / $2.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $1.93 / $2.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $1.93 / $2.39
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $2.54 / $3.91