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Arizona rates for HCPCS J0121

Injection Omadacycline 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.30 / $8.03 / $12.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.18 / $4.84 / $8.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.37 / $13.86 / $22.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.67 / $3.88 / $25.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.79 / $4.09 / $4.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $5.29 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.01