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Washington rates for HCPCS J0121

Injection, omadacycline, 1 mg

Facilitymedian $6 · 10th–90th $4–$90%20%10th90th$6Professionalmedian $4 · 10th–90th $4–$60%50%10th90th$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
$4.17 / $7.24 / $8.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $5.75
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $4.79 / $12.02
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $4.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $18.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $5.13
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $4.47 / $6.76
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $4.68 / $10.23
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $4.68 / $4.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $4.79 / $12.02
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $4.17
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $4.17 / $4.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $4.17 / $4.17
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $5.37