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North Carolina rates for HCPCS J0291

Injection, plazomicin, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.38 / $4.33 / $5.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.38 / $3.50 / $4.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.38 / $7.86 / $9.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $3.57 / $3.57
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 / $4.15
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.38 / $4.17 / $4.57
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $3.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $5.43
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $85.00