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Louisiana rates for HCPCS J0122

Injection, eravacycline, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.34 / $2.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.32 / $1.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $0.93 / $1.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.36
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $1.30 / $1.63