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Minnesota rates for HCPCS J0200

Alatrofloxacin Mesylate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.04 / $20.04 / $20.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.03 / $16.63 / $20.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.78 / $1,410.94 / $2,467.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.31 / $980.39 / $980.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.46 / $48.97 / $59.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.53 / $18.04 / $19.53
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $44.69 / $56.09
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.38 / $15.38 / $20.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.63 / $24.26 / $33.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.04 / $20.04 / $27.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.04 / $20.04 / $36.33