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Alaska rates for HCPCS J0291

Injection, plazomicin, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.97 / $6.58 / $23.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.61 / $6.52 / $8.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.32 / $9.32 / $9.32
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $11.27
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $5.81 / $9.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.42 / $8.30 / $13.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $5.25 / $7.06