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New York rates for HCPCS J0291

Inj., plazomicin, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $4.36 / $7.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $4.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.80 / $2.80 / $3.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $3.50 / $3.59
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.10 / $3.10 / $3.26
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.10 / $3.10 / $3.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $3.31 / $3.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.50
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $4.97 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $3.80 / $4.53
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.64
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.64
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $3.31 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $5.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $4.90
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.64 / $3.64 / $3.64
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.64