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Kansas rates for HCPCS J0121

Injection Omadacycline 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $5.63 / $17.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.09 / $5.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.80 / $5.38 / $5.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $5.09 / $5.09
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.93 / $4.69 / $6.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.87 / $4.01 / $5.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $5.73