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California rates for HCPCS J0121

Injection Omadacycline 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $8.02 / $9.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.05 / $8.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.12 / $6.42 / $14.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $11.30
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.73 / $5.19 / $8.89
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $10.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.79 / $3.79 / $4.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.62 / $4.82 / $9.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.79 / $4.05 / $5.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.09 / $8.69
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $5.60 / $5.60
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $4.42 / $6.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $9.91