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New York rates for HCPCS J0200

Injection, alatrofloxacin mesylate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.03 / $16.03 / $24.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.83 / $16.03 / $17.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.80 / $1.76
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
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.04 / $18.04 / $31.21
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $6.04 / $21.24
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $555.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.04 / $20.04 / $27.05
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.03 / $17.03 / $17.03
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.03 / $17.03 / $17.03