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South Carolina rates for HCPCS J0121

Injection Omadacycline 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.22 / $4.22 / $17.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.62 / $4.18 / $5.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.80 / $4.51 / $7.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $5.04 / $6.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.79 / $4.09 / $4.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.22 / $5.05 / $9.65
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $5.83 / $5.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $4.01 / $8.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.01