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South Carolina rates for HCPCS J0200

Alatrofloxacin Mesylate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.43 / $16.43 / $66.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.43 / $17.03 / $17.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.60 / $23.31 / $25.49
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.53 / $18.07 / $25.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.04 / $20.04 / $22.04