go back

Indiana rates for HCPCS J0200

Alatrofloxacin Mesylate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.03 / $16.03 / $72.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.03 / $16.03 / $16.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $16.98 / $32.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.16 / $16.98 / $22.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $46.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.04 / $20.04 / $24.85