go back

Kentucky rates for HCPCS J3095

Telavancin Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.11 / $7.11 / $12.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $7.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.05 / $8.39 / $14.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.04 / $7.11 / $7.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.11 / $7.73 / $11.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.82 / $10.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.11 / $7.11 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.63 / $7.11 / $13.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $7.61