go back

Utah rates for HCPCS J0291

Injection, plazomicin, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.05 / $4.05 / $4.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $4.05 / $4.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.18 / $5.09 / $5.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.50
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.24 / $7.25 / $10.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.50