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New Hampshire rates for HCPCS J3095

Injection, telavancin, 10 mg

Facilitymedian $11 · 10th–90th $7$280%10%10th90th$11Professionalmedian $7 · 10th–90th $7$130%50%90th$7$10.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $8.32 / $14.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $18.62 / $30.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.94
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $13.80 / $19.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $11.75 / $13.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $11.75
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $7.41 / $10.72