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Virginia rates for HCPCS J3095

Injection, telavancin, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $15.49 / $20.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $14.79 / $25.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $12.30
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $11.75 / $17.38
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $7.41 / $10.96
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $1.95
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $7.41 / $10.23
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $9.33 / $10.72
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $9.33 / $10.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.41 / $11.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.41 / $9.33