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Hawaii rates for HCPCS J0200

Injection, alatrofloxacin mesylate, 100 mg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.04 / $18.04 / $18.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.76 / $20.04 / $30.06
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.92 / $14.48 / $18.44