go back

Alaska rates for HCPCS J0121

Injection Omadacycline 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $7.39 / $26.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $7.48 / $9.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.70 / $10.70 / $10.70
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $12.94
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.90 / $7.56 / $11.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.86 / $10.48 / $17.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $6.03 / $8.11