go back

Kentucky rates for HCPCS J0875

Injection, dalbavancin, 5 mg

Facilitymedian $18 · 10th–90th $16–$300%50%10th90th$18Professionalmedian $15 · 10th–90th $15–$170%50%90th$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
$15.14 / $20.89 / $8,128.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $16.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $17.78 / $28.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $25.12
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $16.22 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $66.07 / $66.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49