go back

Michigan rates for HCPCS J0121

Injection, omadacycline, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $8.32 / $13.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $5.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $9.12 / $18.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.17 / $4.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.27 / $4.27
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $11.22 / $13.18
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.17 / $5.75
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.27 / $4.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $3.89 / $4.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.17 / $4.37