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Idaho rates for HCPCS J0121

Injection Omadacycline 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.42 / $5.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.79 / $4.09 / $4.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.42 / $5.33 / $7.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $5.03 / $5.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.05 / $5.82 / $9.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.82 / $4.82 / $5.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.01