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New Jersey rates for HCPCS J0200

Alatrofloxacin Mesylate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.03 / $24.01 / $41.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.83 / $16.63 / $17.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.44 / $16.98 / $18.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.09 / $18.09 / $18.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.04 / $20.04 / $21.14