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North Carolina rates for HCPCS J0122

Injection, eravacycline, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.06 / $1.35 / $1.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.30 / $1.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.56 / $2.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.29
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 / $1.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.06 / $1.54 / $1.55
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.01 / $1.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.69
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $85.00