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Arizona rates for HCPCS J0121

Injection, omadacycline, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $7.59 / $14.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.17 / $5.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $10.96 / $15.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $7.94 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $4.27 / $4.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.27 / $4.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $5.25 / $75.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $3.89 / $6.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $4.17 / $4.17