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Massachusetts rates for HCPCS J3095

Injection, telavancin, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.11 / $7.11 / $14.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.40 / $8.96
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.69 / $19.05 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $9.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.63 / $9.07 / $19.34
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.62 / $53.00 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $14.77
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $10.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $9.94