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Arizona rates for HCPCS J0122

Injection, eravacycline, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.39 / $2.60 / $3.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $1.56 / $2.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $4.49 / $6.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $1.25 / $8.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.33 / $1.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.70 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.30