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Nationwide rates for HCPCS J0875

Injection, Dalbavancin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.61 / $30.57 / $7,693.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.61 / $15.77 / $20.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.80 / $25.97 / $49.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.61 / $15.61 / $15.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.73 / $15.61 / $15.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.61 / $15.61 / $15.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.61 / $15.61 / $19.22