go back

Michigan rates for HCPCS J3095

Telavancin Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.33 / $7.69 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.33 / $9.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.77 / $15.83 / $29.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.82 / $7.18 / $7.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $7.11 / $7.11
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.11 / $10.94 / $21.40
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.33 / $8.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.17 / $8.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $7.54