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Hawaii rates for HCPCS J0121

Injection Omadacycline 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.98 / $6.98 / $6.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.18 / $4.18 / $5.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.72 / $5.72 / $5.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.42 / $4.82 / $5.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.70 / $6.03
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.68 / $4.59 / $5.05