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Oklahoma rates for HCPCS J3095

Injection, telavancin, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.94 / $2,951.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $8.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $6.92 / $7.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $7.41 / $7.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $7.41 / $75.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $7.41 / $7.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.41 / $7.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.41 / $7.41