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California rates for HCPCS J0200

Injection, alatrofloxacin mesylate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.63 / $37.47 / $44.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.83 / $16.63 / $28.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.93 / $18.07 / $20.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $17.03 / $40.70
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.28 / $43.28 / $43.28
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.30 / $17.30 / $43.52
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $393.93 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $16.98 / $23.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $37.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.04 / $20.04 / $41.19