go back

Colorado rates for HCPCS J3095

Injection, telavancin, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.11 / $14.87 / $18.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.92 / $9.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.82 / $12.48 / $22.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $7.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.71 / $6.71 / $10.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $7.11
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.79 / $7.54 / $11.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.33 / $7.82 / $11.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $7.11