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Georgia rates for HCPCS J0122

Injection, eravacycline, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.30 / $449.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.30 / $1.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $2.12 / $4.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $1.30 / $2.54
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
$1.02 / $4.00 / $8.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.37 / $3.33 / $3.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.39