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Nevada rates for HCPCS J0875

Injection, dalbavancin, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.61 / $30.57 / $39.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.61 / $15.61 / $40.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.28 / $16.39 / $49.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.55 / $15.55 / $15.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.60 / $15.61 / $15.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.61 / $15.61 / $15.61
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.61 / $16.94 / $21.35
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.25 / $17.25 / $17.25
Hometown Health
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 / $15.61