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California rates for HCPCS J0291

Injection, plazomicin, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $7.14 / $8.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.54 / $8.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.66 / $5.59 / $12.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.57 / $10.06
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.53 / $4.15 / $8.22
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $3.57 / $9.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $3.31 / $3.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.15 / $4.20 / $8.05
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $3.50 / $5.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $7.57
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.52 / $5.52 / $5.52
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.80 / $3.85 / $5.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $7.45