go back

Washington rates for HCPCS J0122

Injection, eravacycline, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.25 / $1.66 / $2.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.43 / $1.56
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.82 / $3.75
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.40
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 / $1.60
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.61 / $2.70
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.96 / $1.39 / $2.58
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.19 / $1.31 / $1.39
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $1.45 / $2.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.84 / $2.84 / $2.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.30