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North Dakota rates for HCPCS J0121

Injection Omadacycline 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $4.01 / $7.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.05 / $4.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.36 / $4.38 / $4.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.71 / $4.38 / $4.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.94 / $3.98 / $4.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $5.56 / $12.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.87 / $4.01 / $4.36
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 / $4.50