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North Carolina rates for HCPCS J0121

Injection Omadacycline 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.62 / $4.75 / $6.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.62 / $4.01 / $4.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.85 / $8.44 / $10.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $5.73
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.62 / $4.78 / $6.12
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $6.23
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $85.00