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Maryland rates for HCPCS J0291

Injection, plazomicin, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.57 / $3.57 / $3.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $4.78
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $3.51 / $3.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $4.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.71
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $3.57 / $3.57