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Maine rates for HCPCS J0291

Injection, plazomicin, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.11 / $8.11 / $8.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $4.32 / $4.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $4.25 / $11.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.50
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $4.24
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.11 / $8.11 / $8.75
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $4.32 / $8.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $5.08