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South Carolina rates for HCPCS J0291

Inj., plazomicin, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.68 / $3.68 / $15.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.38 / $3.68 / $5.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.56 / $4.16 / $7.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.53 / $4.15 / $4.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $3.50 / $3.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.68 / $4.15 / $9.11
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.43 / $5.43 / $5.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.50