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Virginia rates for HCPCS J0291

Injection, plazomicin, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $4.09 / $8.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.68 / $3.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $7.39 / $11.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.50
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.92 / $5.59 / $8.44
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $4.03 / $4.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $3.50 / $5.60
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.32 / $3.50 / $4.48
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.32 / $3.50 / $4.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.50 / $4.03