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New York rates for HCPCS J0121

Injection Omadacycline 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $4.88 / $8.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.05 / $5.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.22 / $3.22 / $4.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.68 / $4.01 / $4.01
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.33 / $3.33 / $3.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $3.33 / $3.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.46 / $3.79 / $4.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.79 / $5.69 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.36 / $6.07
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.17
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.17
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.46 / $3.79 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.09 / $5.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $5.73
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $4.17 / $4.17
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.17