go back

Vermont rates for HCPCS J1956

Injection, levofloxacin, 250 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $2.88 / $2.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.09 / $2.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.14 / $2.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.14 / $3.31