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Illinois rates for HCPCS J0121

Injection Omadacycline 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $6.51 / $10.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $5.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.25 / $15.66 / $77.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.92 / $6.03 / $13.29
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.23 / $5.23 / $5.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $4.01 / $9.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.87