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Maryland rates for HCPCS J0121

Injection, omadacycline, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $5.13
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $5.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $5.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.26
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.92 / $3.92 / $3.92