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Oregon rates for HCPCS J3095

Telavancin Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.47 / $9.30 / $14.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.47 / $13.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.71 / $10.47 / $14.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $7.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $16.34 / $19.57
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.60 / $10.17 / $15.29
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.82 / $9.24
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.11 / $8.44 / $21.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.71 / $10.47 / $15.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $7.72 / $9.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.00 / $11.03 / $24.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $7.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $7.11