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Nebraska rates for HCPCS J0122

Injection, eravacycline, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $2.50 / $2.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $2.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.40 / $1.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.44 / $1.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.14 / $1.14 / $1.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.24 / $1.33 / $1.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $2.52 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.29 / $1.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.52 / $2.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.52 / $2.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.24 / $1.30 / $1.43