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Virginia rates for HCPCS J3095

Injection, telavancin, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.11 / $8.56 / $17.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.47 / $7.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.11 / $15.00 / $24.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $7.11
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.66 / $10.99 / $16.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.71 / $6.71 / $7.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $7.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.04 / $8.52 / $10.68
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.11 / $7.11 / $10.31
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.75 / $8.60 / $10.39
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.75 / $8.60 / $10.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $7.11 / $10.68