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Mississippi rates for HCPCS J3095

Telavancin Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.47 / $8.53 / $8.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.47 / $9.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.65 / $7.65 / $7.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.27 / $7.11 / $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
$6.83 / $7.11 / $9.24