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Mississippi rates for HCPCS J0121

Injection Omadacycline 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.22 / $4.80 / $4.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.22 / $5.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $3.31 / $3.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.86 / $4.01 / $5.23