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Connecticut rates for HCPCS J0121

Injection Omadacycline 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.18 / $6.26 / $11.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.18 / $4.18 / $4.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $6.11 / $12.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.36 / $5.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.62 / $4.01 / $5.27