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Alaska rates for HCPCS J0122

Injection, eravacycline, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.25 / $2.38 / $8.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $2.42 / $3.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.46 / $3.46 / $3.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $4.19
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $1.85 / $2.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $2.64 / $4.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.95 / $2.62