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New Jersey rates for HCPCS J0122

Injection, eravacycline, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $1.82 / $3.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.33 / $1.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.33
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $4.48 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.29 / $1.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.59 / $2.00 / $2.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.51