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South Carolina rates for HCPCS J0122

Injection, eravacycline, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.82 / $5.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $1.32 / $2.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.38 / $1.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.32 / $1.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.32 / $1.32
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $1.51 / $3.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.29 / $2.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.29 / $1.41