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Arizona rates for HCPCS J3095

Injection, telavancin, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.61 / $14.22 / $21.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.82 / $9.03 / $13.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.18 / $24.70 / $40.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $7.23 / $45.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.71 / $7.11 / $7.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $7.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.47 / $9.85 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.47 / $7.47 / $7.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $7.11