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Virginia rates for HCPCS J0121

Injection Omadacycline 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $4.59 / $9.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.22 / $4.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $8.48 / $13.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.01
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.31 / $6.04 / $9.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.79 / $3.79 / $4.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.42 / $4.82 / $5.73
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $4.01 / $6.43
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.82 / $4.59 / $5.28
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.82 / $4.59 / $5.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.96 / $4.01 / $5.05