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West Virginia rates for HCPCS J0291

Injection, plazomicin, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.54 / $3.57 / $3.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $5.25 / $5.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $3.50 / $3.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $6.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $3.50 / $5.07