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Wisconsin rates for HCPCS C9039

Injection, plazomicin, 5 mg

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.94 / $7.21 / $10.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $4.55 / $5.18
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $90.00