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Oklahoma rates for HCPCS J0291

Injection, plazomicin, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.57 / $3.86 / $6.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.78 / $3.78 / $3.78
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.57 / $3.86 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.57 / $3.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.50