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South Carolina rates for HCPCS J0200

Injection, alatrofloxacin mesylate, 100 mg

Insurance Carrier
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $15.49 / $25.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $21.88