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Texas rates for HCPCS J3095

Telavancin Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.11 / $12.97 / $16.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.18 / $10.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.74 / $14.39 / $27.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $8.42 / $10.03
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.85 / $663.85 / $663.85
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.98 / $7.47 / $10.48
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $7.11 / $13.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.84 / $7.11 / $10.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.72 / $7.11 / $12.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $7.11
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.40 / $7.40 / $9.60