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Utah rates for HCPCS J0121

Injection, omadacycline, 1 mg

Facilitymedian $5 · 10th–90th $4$100%20%10th90th$5Professionalmedian $4 · 10th–90th $4$40%50%90th$4$5.0$10.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $4.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $5.50 / $9.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $4.17
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $8.13 / $11.75
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $4.27
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $4.17 / $5.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $4.17