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Oregon rates for HCPCS J0121

Injection Omadacycline 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $4.68 / $8.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.18 / $6.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.79 / $5.54 / $7.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.83 / $8.52 / $10.21
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $5.75 / $8.64
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.42 / $5.23
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $5.03 / $8.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $5.54 / $8.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.50 / $4.90
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.49 / $5.94 / $13.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.24 / $8.24 / $9.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.01