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Arkansas rates for HCPCS J0122

Injection, eravacycline, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.37 / $1.56 / $1.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.55 / $1.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.40 / $1.40 / $1.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.25 / $1.40 / $1.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.06 / $1.33 / $1.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $1.30 / $1.30