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Wisconsin rates for HCPCS J0200

Injection, alatrofloxacin mesylate, 100 mg

Facilitymedian $37 · 10th–90th $20–$550%10%20%10th90th$37Professionalmedian $20 · 10th–90th $16–$280%20%40%10th90th$20$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $37.15 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $17.38 / $19.50
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $10.00
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $26.30
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $54.95 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95