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Illinois rates for HCPCS J0291

Injection, plazomicin, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $5.36 / $9.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.57 / $4.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.57 / $14.63 / $72.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $5.25 / $13.12
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.55 / $4.55 / $4.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.71