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Illinois rates for HCPCS J0122

Injection, eravacycline, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.95 / $3.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $4.57 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $1.32 / $1.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.32 / $1.32
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $3.24 / $100.00
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
$1.70 / $1.70 / $1.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $2.00 / $2.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.38