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New Jersey rates for HCPCS J0291

Injection, plazomicin, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $5.03 / $9.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $4.01 / $5.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.50
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.83 / $15.67 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $3.57 / $3.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $4.03