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Washington, DC rates for HCPCS J0122

Injection, eravacycline, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $3.98 / $4.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.29
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $2.00 / $4.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.32 / $1.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.29 / $2.09