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Arizona rates for HCPCS J0291

Injection, plazomicin, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.75 / $7.00 / $10.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.85 / $4.32 / $8.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.11 / $12.34 / $20.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $3.46 / $22.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $3.50 / $3.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.57 / $4.72 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $3.57 / $3.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.50