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North Carolina rates for HCPCS C9462

Injection, delafloxacin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.51 / $0.51 / $0.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.51 / $0.60
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.50
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00