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Ohio rates for HCPCS J1960

Injection, levorphanol tartrate, up to 2 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.93 / $1.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $1.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.17 / $3.33 / $5.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.65 / $2.65 / $3.58
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $3.54 / $3.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.25 / $4.25 / $5.91