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Nationwide rates for HCPCS J0875

Injection, dalbavancin, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $30.90 / $11,481.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $20.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $21.38 / $43.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $21.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $15.49 / $26.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $16.22 / $20.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $15.49 / $28.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $19.50