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Washington, DC rates for HCPCS J0200

Alatrofloxacin Mesylate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.03 / $17.03 / $17.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.03 / $17.03 / $17.03
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.03 / $17.03 / $17.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.23 / $20.04 / $32.47