go back

Oklahoma rates for HCPCS J0122

Injection, eravacycline, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.39 / $2.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.41
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 / $1.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.39 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.29 / $1.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.30