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Connecticut rates for HCPCS J3095

Telavancin Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.40 / $11.30 / $19.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.40 / $7.40 / $7.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.95 / $10.81 / $21.31
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
$7.11 / $7.11 / $7.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $7.11
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.38 / $7.72 / $8.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.40 / $7.11 / $9.83