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Connecticut rates for HCPCS J0122

Inj., eravacycline, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $2.00 / $3.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.35 / $1.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.34 / $1.98 / $3.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.33
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.41 / $1.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.30 / $1.44