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Pennsylvania rates for HCPCS J0200

Alatrofloxacin Mesylate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.03 / $27.25 / $42.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.03 / $17.03 / $17.03
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.14 / $16.64 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.64 / $16.64 / $16.64
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
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.03 / $26.23 / $42.23
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.03 / $17.03 / $33.89
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.64 / $17.64 / $17.64
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.64 / $17.64 / $17.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.04 / $20.04 / $27.68