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Nevada rates for HCPCS J0200

Injection, alatrofloxacin mesylate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.63 / $31.60 / $44.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.63 / $16.63 / $17.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $16.98 / $17.03
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.04 / $20.04 / $20.04