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Maryland rates for HCPCS J0122

Injection, eravacycline, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.78
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.32 / $1.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.29 / $1.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.29 / $1.55
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.20 / $1.20