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Missouri rates for HCPCS J0122

Injection, eravacycline, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $1.40 / $1.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.34 / $1.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $2.21 / $4.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.18 / $1.60 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.29 / $1.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.30 / $1.48