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South Carolina rates for HCPCS J3095

Injection, telavancin, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $10.00 / $31.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.08 / $7.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $4.90 / $8.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $9.33 / $11.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $7.41 / $7.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $7.41
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $8.51 / $18.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.41 / $15.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.41 / $8.13