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Washington rates for HCPCS J0121

Injection, omadacycline, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $7.24 / $8.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $5.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $3.89 / $7.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.27 / $5.13
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $5.01 / $7.59
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $4.68 / $10.23
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $4.68 / $4.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $4.68 / $11.22
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.17 / $4.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $4.17 / $4.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.17 / $4.17
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.17 / $5.37