go back

Massachusetts rates for HCPCS J0121

Injection Omadacycline 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $4.01 / $8.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.18 / $5.52
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.49 / $10.77 / $85.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $5.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.30 / $5.13 / $10.93
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $53.00 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $8.35
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $85.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $6.03
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 / $5.63