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West Virginia rates for HCPCS J0122

Inj., eravacycline, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $1.95 / $1.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $1.23 / $1.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $2.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.13 / $2.13 / $2.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $1.30 / $1.51