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Missouri rates for HCPCS J0291

Injection, plazomicin, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.57 / $4.15 / $4.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.61 / $4.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $5.95 / $12.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $4.38
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.57 / $4.20 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.03 / $3.57 / $3.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $3.50 / $3.95