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Missouri rates for HCPCS J0200

Injection, alatrofloxacin mesylate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.03 / $16.03 / $16.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.03 / $16.03 / $16.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $17.03 / $20.04
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 / $16.82 / $194.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.03 / $20.04 / $20.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.03 / $20.04 / $20.23