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Kentucky rates for HCPCS J0121

Injection Omadacycline 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $4.01 / $6.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.55 / $4.74 / $8.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.41 / $4.01 / $4.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $4.22 / $6.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.42 / $6.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $7.32 / $7.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.01