go back

Nebraska rates for HCPCS J0121

Injection Omadacycline 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $7.73 / $8.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $8.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.41 / $4.32 / $4.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.30 / $4.41 / $4.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.90 / $3.90 / $3.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.94 / $4.09 / $4.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.66 / $4.01 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.87 / $4.01 / $5.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.46 / $5.95 / $7.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.42 / $4.80 / $8.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.82 / $4.01 / $4.42