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Massachusetts rates for HCPCS J0122

Inj., eravacycline, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $1.30 / $2.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.35 / $1.55
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.96 / $3.48 / $85.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $1.30 / $1.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.39 / $1.67 / $3.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.33
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.55 / $83.43 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $2.70
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $85.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $1.30 / $1.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $1.30 / $1.82