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Michigan rates for HCPCS J0291

Inj., plazomicin, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.61 / $3.68 / $11.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.61 / $4.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.33 / $7.81 / $14.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.57 / $3.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.21 / $3.50 / $3.50
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $4.59 / $10.24
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.61 / $4.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.02 / $5.25 / $5.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $4.20