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Vermont rates for HCPCS J0122

Inj., eravacycline, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $2.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.47 / $1.47 / $1.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.37 / $2.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.33
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.37 / $2.27
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.24 / $1.30 / $2.00