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Minnesota rates for HCPCS J0121

Injection Omadacycline 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $4.01 / $8.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $8.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.53 / $4.50 / $7.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.21 / $4.01 / $4.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.15 / $12.30 / $14.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.53 / $5.00
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $11.23 / $14.09
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.94 / $3.94 / $5.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $4.01 / $6.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $5.53
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 / $7.24