go back

West Virginia rates for HCPCS J1956

Injection, levofloxacin, 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.64 / $8.78 / $42.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.98 / $2.54 / $2.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $2.54 / $3.81
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $5.89 / $5.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.39 / $2.54 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $21.72
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.68 / $6.84 / $15.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $2.54 / $4.75