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Massachusetts rates for HCPCS J0291

Injection, plazomicin, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $3.50 / $7.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.64 / $4.28
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.23 / $9.38 / $85.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $3.50 / $4.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.76 / $4.47 / $9.52
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.64 / $53.00 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $7.27
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $85.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $3.50 / $5.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $3.50 / $4.90