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Georgia rates for HCPCS J0121

Injection Omadacycline 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $4.01 / $5.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.05 / $5.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $6.54 / $14.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $4.01 / $7.88
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
$3.44 / $13.00 / $20.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $5.27