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Connecticut rates for HCPCS J3095

Injection, telavancin, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $12.30 / $21.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $8.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $11.75 / $18.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $7.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $7.41 / $7.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $7.41
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.59 / $8.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $7.41 / $10.00