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Idaho rates for HCPCS J0122

Injection, eravacycline, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.43 / $1.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.33 / $1.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.43 / $1.73 / $2.33
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.63 / $1.63
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $1.82 / $3.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.56 / $1.56 / $1.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.30