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North Dakota rates for HCPCS J0291

Injection, plazomicin, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $3.50 / $6.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $4.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.80 / $3.82 / $3.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.82 / $3.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $3.64 / $4.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.36 / $3.58 / $6.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $3.57 / $3.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $3.50 / $3.80