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Washington, DC rates for HCPCS J0121

Injection Omadacycline 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $11.31 / $15.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.01
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $6.04 / $10.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.79 / $3.79 / $4.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.42 / $3.42 / $4.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.66 / $4.01 / $6.52