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Ohio rates for HCPCS J0291

Injection, plazomicin, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $7.60 / $11.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.61 / $8.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.78 / $6.11 / $10.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $6.06
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $3.50 / $5.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $4.73
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 / $5.55
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $5.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.85 / $4.46 / $5.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.79