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Missouri rates for HCPCS J0291

Injection, plazomicin, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $4.17 / $13.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $5.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $3.80 / $12.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $3.55 / $4.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $3.55 / $3.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $3.55 / $3.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $4.37 / $85.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.55 / $4.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $4.37 / $4.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $3.55 / $4.07