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Ohio rates for HCPCS J0200

Injection, alatrofloxacin mesylate, 100 mg

Insurance Carrier
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $17.78 / $17.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $50.12 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $21.38