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New York rates for HCPCS J0122

Injection, eravacycline, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.57 / $2.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.04 / $1.04 / $1.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.30 / $1.30
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.01 / $1.01 / $1.06
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.01 / $1.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.08 / $1.23 / $1.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.33
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.85 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.71
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.35
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.35
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.08 / $1.23 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.33 / $1.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.75
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $1.35 / $1.35
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.35