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Iowa rates for HCPCS J3095

Injection, telavancin, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.94 / $10.94 / $16.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $10.94 / $13.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.38 / $9.05
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $17.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.47 / $8.51 / $10.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.18 / $7.47 / $10.74
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.39 / $11.09 / $14.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.21 / $8.43 / $11.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $7.32
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.47 / $7.47 / $7.47
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.47 / $7.47 / $7.47