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Wyoming rates for HCPCS J0122

Injection, eravacycline, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.19 / $1.40 / $1.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.30