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Illinois rates for HCPCS J3095

Injection, telavancin, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.11 / $11.52 / $19.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.33 / $9.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.20 / $32.83 / $135.19
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.33 / $9.94 / $19.68
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.24 / $9.24 / $9.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $9.08