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California rates for HCPCS J0122

Injection, eravacycline, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $2.58 / $2.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.32 / $2.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $2.08 / $4.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.30 / $3.64
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.19 / $1.40 / $2.77
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $3.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.56 / $2.95
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.32 / $1.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.33 / $2.81
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $1.81
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.43 / $2.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $2.74