go back

Louisiana rates for HCPCS J0121

Injection Omadacycline 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $4.13 / $8.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.05 / $4.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.80 / $3.28 / $4.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.26 / $4.26 / $4.34
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
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.94 / $4.01 / $5.73