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Texas rates for HCPCS J0122

Injection, eravacycline, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $2.02 / $2.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.32 / $1.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $2.48 / $4.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.20 / $3.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.33 / $1.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.33
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $85.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.86 / $1.92
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $1.30 / $2.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.33 / $1.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.33 / $2.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.30
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.76