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Pennsylvania rates for HCPCS J0200

Injection, alatrofloxacin mesylate, 100 mg

Insurance Carrier
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $17.78 / $21.38
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.78 / $21.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $27.54