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California rates for HCPCS J3095

Injection, telavancin, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.11 / $14.79 / $16.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.18 / $13.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.54 / $11.36 / $25.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.47 / $16.39
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.72 / $9.30 / $16.30
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.25 / $7.25 / $18.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.71 / $6.71 / $7.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $7.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.40 / $8.52 / $16.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.71 / $7.11 / $10.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $15.38
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.14 / $9.14 / $9.14
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.69 / $7.82 / $12.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $14.51