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South Carolina rates for HCPCS J0122

Inj., eravacycline, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.37 / $1.37 / $5.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.37 / $2.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $1.30 / $2.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.40 / $1.68
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.37 / $1.51 / $3.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.43