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Texas rates for HCPCS J0200

Alatrofloxacin Mesylate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.03 / $18.07 / $38.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.03 / $16.43 / $22.34
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $194.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.03 / $22.13 / $23.49
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.03 / $15.03 / $15.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $16.98 / $23.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.04 / $20.04 / $20.04
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $22.94