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Indiana rates for HCPCS J0122

Injection, eravacycline, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $2.90 / $5.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.32 / $1.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $2.60 / $3.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.30 / $1.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.76
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.33 / $3.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.61