go back

Iowa rates for HCPCS J0200

Injection, alatrofloxacin mesylate, 100 mg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $19.05
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $7.94 / $151.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $21.38 / $28.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $23.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.38 / $21.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $20.42