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Arkansas rates for HCPCS J3095

Injection, telavancin, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.30 / $8.53 / $8.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $8.53 / $8.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.10 / $8.10 / $8.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.36 / $8.10 / $8.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.07 / $7.11 / $7.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $7.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $9.08