go back

Michigan rates for HCPCS J0122

Injection, eravacycline, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $1.34 / $4.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.34 / $1.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $2.89 / $5.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.23 / $1.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.33 / $1.33
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $1.66 / $3.70
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.33 / $1.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.48 / $1.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.38