go back

Colorado rates for HCPCS J0200

Injection, alatrofloxacin mesylate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.03 / $16.03 / $61.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.03 / $16.03 / $16.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.44 / $22.44 / $24.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.03 / $16.03 / $24.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $12.00 / $12.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.04 / $20.04 / $20.04