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Louisiana rates for HCPCS J0291

Injection, plazomicin, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $3.68 / $7.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.54 / $4.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $2.99 / $3.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $3.93 / $4.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $3.31 / $3.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $3.50 / $4.03