go back

Texas rates for HCPCS J0291

Inj., plazomicin, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $5.85 / $7.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.54 / $5.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.15 / $7.97 / $15.06
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $85.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.54 / $5.01 / $5.16
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.68 / $3.50 / $6.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $3.50 / $5.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $3.50 / $6.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.50
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.57 / $4.73