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Oregon rates for HCPCS J0122

Inj., eravacycline, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.47 / $2.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.32 / $2.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.71 / $2.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $2.85 / $3.41
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $1.86 / $2.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.43 / $1.63
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.61 / $2.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.71 / $2.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.31 / $1.41 / $1.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.96 / $1.55 / $4.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.30