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Wyoming rates for HCPCS J0291

Injection, plazomicin, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.57 / $3.57 / $3.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.53 / $4.15 / $4.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $3.31 / $3.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $4.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.50