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Utah rates for HCPCS J3095

Injection, telavancin, 10 mg

Facilitymedian $10 · 10th–90th $8–$190%20%40%10th90th$10Professionalmedian $7 · 10th–90th $7–$80%50%10th90th$7$10.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.41 / $7.94
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $10.00 / $16.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $15.14 / $21.88
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $7.24 / $7.24
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $7.08 / $8.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $7.41