go back

Nebraska rates for HCPCS J0291

Injection, plazomicin, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.57 / $3.57 / $7.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.57 / $8.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.98 / $3.77 / $3.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.77 / $3.93 / $4.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.64 / $4.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.57 / $3.60 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.57 / $4.03
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $5.50 / $7.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.29 / $8.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $3.50 / $3.85