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Kansas rates for HCPCS J0122

Inj., eravacycline, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $598.63 / $598.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.33 / $1.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.43 / $1.60 / $1.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $1.64 / $1.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.18 / $1.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.29 / $1.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.51