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New York rates for HCPCS J3095

Injection, telavancin, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.11 / $9.11 / $14.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $10.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.69 / $5.69 / $7.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $7.11 / $9.26
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.40 / $6.40 / $6.72
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.40 / $6.40 / $6.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.21 / $6.71 / $7.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $7.11
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.71 / $10.07 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.72 / $7.72 / $11.60
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.11 / $7.11 / $7.38
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $7.38
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.21 / $6.71 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $10.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $10.68
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.38 / $7.38 / $7.38
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $7.11 / $7.38