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Ohio rates for HCPCS J3095

Injection, telavancin, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.11 / $15.43 / $23.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.47 / $17.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.68 / $12.42 / $20.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $11.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.11 / $7.11 / $12.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $9.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.71 / $6.71 / $7.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $15.03
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $15.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.82 / $9.33 / $10.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $9.26