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Louisiana rates for HCPCS J3095

Telavancin Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.11 / $7.69 / $16.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.18 / $9.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $2.48 / $7.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.80 / $7.80 / $7.96
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $663.85 / $663.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.71 / $6.71 / $7.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $7.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $10.68