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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
$1.30 / $3.64 / $4.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.30
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.88 / $3.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.11 / $1.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.30 / $2.11