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Illinois rates for HCPCS J0122

Inj., eravacycline, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.94 / $3.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.30 / $1.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.00 / $4.58 / $22.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.33
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.95 / $5.15
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $1.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.38