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Indiana rates for HCPCS J3095

Telavancin Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.18 / $15.31 / $33.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.18 / $7.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.11 / $14.22 / $18.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.04 / $7.11 / $10.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.11 / $7.11 / $10.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $8.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.11 / $7.11 / $7.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.99 / $7.11 / $17.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $9.08