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North Carolina rates for HCPCS J3095

Telavancin Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.87 / $8.67 / $11.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.95 / $6.95 / $9.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.79 / $13.19 / $16.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.39 / $5.39 / $7.47
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 / $10.94
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.95 / $8.46 / $12.03
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $1.93 / $1.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $9.24
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00