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South Carolina rates for HCPCS J3095

Telavancin Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.91 / $7.47 / $31.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.95 / $7.47 / $12.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.47 / $4.75 / $8.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $9.63 / $11.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.71 / $7.11 / $7.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $7.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.18 / $8.22 / $16.21
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.20 / $11.20 / $11.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $7.11