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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
$5.25 / $6.31 / $11.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $5.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $4.68 / $6.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.27 / $4.27
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $9,120.11 / $23,988.33
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $3.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $4.68 / $6.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.17 / $4.68