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Utah rates for HCPCS J0121

Injection Omadacycline 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.65 / $4.66 / $4.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.66 / $4.66 / $4.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.51 / $5.52 / $9.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.66 / $7.84 / $11.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.01