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Alaska rates for HCPCS J0200

Injection, alatrofloxacin mesylate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.78 / $26.78 / $94.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.63 / $27.05 / $27.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.68 / $38.68 / $38.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.68 / $38.68 / $38.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.04 / $30.06 / $40.42