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North Dakota rates for HCPCS J0122

Injection, eravacycline, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $1.30 / $2.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.42 / $1.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.41 / $1.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.24 / $1.25 / $1.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.40 / $3.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.29 / $1.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.30 / $1.60