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Arizona rates for HCPCS J0200

Injection, alatrofloxacin mesylate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.44 / $40.08 / $60.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.23 / $16.23 / $19.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.88 / $79.30 / $125.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.20 / $19.20 / $127.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.23 / $23.21 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.04 / $20.04 / $20.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.04 / $20.04 / $20.04