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Iowa rates for HCPCS J0200

Alatrofloxacin Mesylate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.03 / $38.52 / $59.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.03 / $16.03 / $16.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.38 / $18.63 / $19.22
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.93 / $7.96 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $21.17 / $28.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.04 / $20.04 / $22.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $1.00 / $21.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.17 / $31.03 / $31.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.03 / $20.04 / $20.64