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Washington, DC rates for HCPCS J3095

Telavancin Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.11 / $21.07 / $28.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $7.11
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $10.99 / $18.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.71 / $6.71 / $7.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.04 / $6.04 / $7.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.47 / $7.11 / $11.52