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Oregon rates for HCPCS J0122

Injection, eravacycline, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.91 / $3.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.70 / $2.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.32 / $1.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $2.88 / $3.39
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.41 / $2.57
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.41 / $1.70
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.62 / $2.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.70 / $3.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.41 / $79.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $1.55 / $3.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.29 / $3.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.29