go back

Iowa rates for HCPCS J0122

Injection, eravacycline, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $2.81 / $4.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $2.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.24 / $1.24 / $1.55
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $2.35 / $4.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.45 / $2.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.55 / $2.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.45 / $2.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.38
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.29
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.29