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Massachusetts rates for HCPCS J0122

Injection, eravacycline, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $2.00 / $3.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.95
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $3.24 / $4.27
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.29 / $2.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $1.32 / $1.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.32 / $1.32
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $56.23 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.29 / $2.19
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $3.24 / $4.27
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.29 / $2.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.82