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Oklahoma rates for HCPCS J3095

Telavancin Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.21 / $7.84 / $2,929.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.68 / $7.68 / $7.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.71 / $6.71 / $7.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $7.11 / $7.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.74 / $7.47 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.09 / $7.47 / $7.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $7.11