go back

Mississippi rates for HCPCS J0122

Injection, eravacycline, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.37 / $1.55 / $1.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.37 / $1.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $0.94 / $0.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $1.08 / $1.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.25 / $1.30 / $1.66