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New Jersey rates for HCPCS J3095

Injection, telavancin, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.11 / $10.53 / $20.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $7.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.71 / $8.18 / $10.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $7.11
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.09 / $26.05 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $7.47 / $7.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.66 / $6.66 / $6.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $8.71