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Indiana rates for HCPCS J0291

Inj., plazomicin, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.54 / $8.61 / $16.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.54 / $3.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $7.00 / $9.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.97 / $3.50 / $4.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $3.50 / $4.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $4.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $3.50 / $9.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $4.34