go back

Oklahoma rates for HCPCS J0200

Alatrofloxacin Mesylate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.23 / $16.23 / $32.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.23 / $16.23 / $16.23
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.03 / $16.23 / $23.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.04 / $20.04 / $20.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.04 / $20.04 / $21.48