go back

Wyoming rates for HCPCS J0770

Colistimethate Sodium Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.39 / $11.39 / $11.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.39 / $11.39 / $13.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.55 / $33.59 / $33.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.32 / $12.32 / $12.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.06 / $18.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.06 / $13.06