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Nebraska rates for HCPCS J0200

Alatrofloxacin Mesylate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.03 / $38.52 / $44.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.03 / $16.03 / $26.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.43 / $19.23 / $19.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.28 / $19.05 / $19.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.38 / $16.98 / $19.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.03 / $16.03 / $30.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.04 / $20.04 / $20.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.17 / $21.17 / $31.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.17 / $31.03 / $31.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.04 / $20.04 / $20.04