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Colorado rates for HCPCS J0875

Injection, dalbavancin, 5 mg

Facilitymedian $31 · 10th–90th $16–$7,7620%10%10th90th$31Professionalmedian $15 · 10th–90th $15–$210%50%10th90th$15$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $35.48 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.49 / $20.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $29.51 / $56.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.49 / $15.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $16.98 / $21.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $58.88 / $58.88
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $15.14 / $15.14
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $25.70 / $46.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $21.38