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Wyoming rates for HCPCS J1956

Injection, levofloxacin, 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.96 / $2.50 / $16.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $1.96 / $2.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $5.05 / $5.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.39 / $2.39 / $2.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $3.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54