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Minnesota rates for HCPCS J0200

Injection, alatrofloxacin mesylate, 100 mg

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $51.29 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $18.20 / $19.50
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $48.98 / $57.54
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $20.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $23.99 / $33.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $26.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $36.31