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Texas rates for HCPCS J0121

Injection Omadacycline 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $6.86 / $8.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.05 / $5.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.45 / $8.73 / $16.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $4.78
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $85.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $5.75 / $5.92
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.01 / $4.01 / $7.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.79 / $4.09 / $5.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.67 / $4.09 / $7.04
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 / $4.01
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.92 / $3.92 / $5.43