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Maryland rates for HCPCS J0122

Inj., 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
$1.30 / $1.30 / $1.73
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.56
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.21