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Massachusetts rates for HCPCS J0121

Injection, omadacycline, 1 mg

Facilitymedian $5 · 10th–90th $4–$100%20%40%10th90th$5Professionalmedian $4 · 10th–90th $4–$60%50%10th90th$4$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $6.46 / $10.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $5.25
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.47 / $10.23 / $13.80
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $5.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $8.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $8.91 / $18.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $5.13
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $6.03 / $6,918.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $6.92
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.47 / $10.23 / $13.80
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $5.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $4.17 / $8.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.17 / $5.01