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Georgia rates for HCPCS J0121

Injection, omadacycline, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $4.17 / $6.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $6.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $6.76 / $22.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.17 / $4.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $3.89 / $4.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.27 / $4.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $12.88 / $21.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $7.59 / $10.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.17 / $5.89