go back

Maryland rates for HCPCS J3095

Injection, telavancin, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.47 / $7.47 / $7.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $9.56
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $7.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $9.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $9.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $7.54
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.40 / $7.40 / $7.40