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Wisconsin rates for HCPCS J0121

Injection, omadacycline, 1 mg

Facilitymedian $6 · 10th–90th $4$120%20%10th90th$6Professionalmedian $4 · 10th–90th $4$80%50%10th90th$4$5.0$10.0$20.0$50.0

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
$4.27 / $6.17 / $12.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $7.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $9.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $5.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $9.33 / $13.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $5.25 / $7.59
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $8.51
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.94 / $7.94
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $8.51
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $6.46
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $3.89
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.47 / $12.88
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $4.27
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $6.92
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $9.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $5.75