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Arizona rates for HCPCS J0200

Injection, alatrofloxacin mesylate, 100 mg

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $61.66 / $93.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $38.02 / $93.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $23.44 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95