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Louisiana rates for HCPCS J0200

Alatrofloxacin Mesylate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.04 / $20.04 / $28.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.04 / $20.04 / $20.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.04 / $19.30 / $28.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.04 / $19.04 / $19.42
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.04 / $20.04 / $22.09