go back

Washington rates for HCPCS J0200

Injection, alatrofloxacin mesylate, 100 mg

Insurance Carrier
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $75.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95