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Wyoming rates for HCPCS J0278

Injection, amikacin sulfate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.62 / $0.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.62 / $0.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.53 / $1.80 / $1.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63