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Idaho rates for HCPCS J0291

Injection, plazomicin, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.57 / $3.57 / $4.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.85 / $4.38
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.85 / $4.63 / $6.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $4.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $3.57 / $3.57
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.70 / $5.39 / $8.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $4.20 / $4.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.50