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Michigan rates for HCPCS J0121

Injection Omadacycline 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $4.13 / $12.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.13 / $4.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.96 / $8.94 / $16.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $4.09 / $4.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.52 / $4.09 / $4.09
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $5.73 / $11.49
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.13 / $4.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.61 / $4.62
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 / $4.26