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Kentucky rates for HCPCS J0200

Alatrofloxacin Mesylate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.03 / $16.03 / $34.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.03 / $16.03 / $16.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.23 / $20.04 / $20.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.38 / $17.84 / $17.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,999.58 / $55,999.44 / $69,999.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $16.98 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $18.04 / $23.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.04 / $20.04 / $20.04