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Minnesota rates for HCPCS J3095

Telavancin Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.11 / $7.11 / $14.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $13.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.79 / $8.18 / $13.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.98 / $7.47 / $7.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.01 / $20.66 / $25.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $7.67 / $9.19
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.36 / $18.86 / $23.67
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $7.24 / $9.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.26 / $7.47 / $12.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.47 / $7.47 / $10.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $9.81