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North Dakota rates for HCPCS J3095

Injection, telavancin, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.11 / $7.11 / $13.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $9.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.72 / $7.76 / $7.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.56 / $7.75 / $7.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $9.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.83 / $7.47 / $12.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.09 / $7.47 / $8.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.04 / $7.11 / $7.72