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Ohio rates for HCPCS J0122

Injection, eravacycline, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $2.82 / $4.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.30 / $3.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.31 / $2.29 / $3.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $2.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $1.30 / $2.21
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.76
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.62 / $1.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.41