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Washington, DC rates for HCPCS J0291

Injection, plazomicin, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $10.07 / $13.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.50
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $5.59 / $9.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $3.31 / $3.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $3.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.50 / $5.67