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Iowa rates for HCPCS J0291

Injection, plazomicin, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.15 / $4.15 / $7.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $4.15 / $8.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $3.64 / $4.55
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $6.34 / $11.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.57 / $4.15 / $5.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $3.57 / $5.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $5.36 / $8.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.29 / $5.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.57
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.57 / $3.57 / $3.57
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $3.57 / $3.57