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Washington rates for HCPCS J0122

Injection, eravacycline, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $2.24 / $2.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.32 / $1.58
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.62 / $2.45
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.35 / $3.16
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.35 / $1.48
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.45 / $3.55
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.29
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.70