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Kentucky rates for HCPCS J0122

Injection, eravacycline, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.30 / $2.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $1.54 / $2.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.30 / $1.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $1.41 / $2.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.43 / $2.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $1.33 / $1.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $2.27 / $2.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.30