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Kansas rates for HCPCS J0200

Alatrofloxacin Mesylate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.03 / $16.03 / $20.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.03 / $16.03 / $20.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.23 / $23.80 / $27.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
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 / $16.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.03 / $16.03 / $23.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.04 / $20.04 / $20.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.04 / $20.04 / $32.06