go back

Idaho rates for HCPCS J3095

Injection, telavancin, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.47 / $7.47 / $8.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.82 / $9.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.71 / $7.11 / $7.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $7.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.82 / $9.42 / $12.71
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $8.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.06 / $10.59 / $17.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.53 / $8.53 / $8.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $7.11