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Virginia rates for HCPCS J0122

Injection, eravacycline, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $1.47 / $2.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.37 / $1.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $2.74 / $4.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.30
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.65 / $1.88 / $2.84
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.51 / $1.56
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $1.30 / $2.09
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.19 / $1.25 / $1.66
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.19 / $1.25 / $1.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $1.30 / $1.51