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Missouri rates for HCPCS J0121

Injection Omadacycline 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $5.56 / $7.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.13 / $5.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $6.83 / $14.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $5.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.79 / $3.79 / $4.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $5.09 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.41 / $4.01 / $4.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.42 / $4.01 / $4.73