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Vermont rates for HCPCS J0121

Injection Omadacycline 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $6.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.55 / $4.55 / $4.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.79 / $4.38 / $7.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.79 / $4.38 / $7.29
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.82 / $4.01 / $6.18