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New Jersey rates for HCPCS J0121

Injection Omadacycline 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $5.65 / $10.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $4.30 / $5.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $8,702.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.66 / $4.01 / $4.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $4.01 / $6.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $5.73