go back

Washington rates for HCPCS J0291

Injection, plazomicin, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.85 / $4.48 / $7.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.85 / $4.32
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $5.39 / $10.41
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.78 / $4.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $3.31 / $7.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $4.30
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $4.38 / $7.42
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.20 / $5.76 / $10.08
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.88 / $4.15
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $4.30 / $8.02
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.50