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Wisconsin rates for HCPCS J1956

Injection, levofloxacin, 250 mg

Facilitymedian $30 · 10th–90th $3$1200%10%10th90th$30Professionalmedian $2 · 10th–90th $2$60%50%10th90th$2$1.0$5.0$20.0$100.0$500.0

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
$3.63 / $50.12 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $6.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $2.69 / $2.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.14 / $2.75
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $2.88 / $5.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.75 / $3.98
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.32 / $2.51 / $5.75
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $5.13 / $5.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $11.75 / $38.90
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $5.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.95 / $0.95 / $7.59
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.95 / $7.94
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $2.14 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.14 / $2.14
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.55 / $2.95 / $3.63
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.02 / $1.02 / $2.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.14 / $3.24