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Washington rates for HCPCS J3095

Injection, telavancin, 10 mg

Facilitymedian $10 · 10th–90th $7–$170%20%10th90th$10Professionalmedian $7 · 10th–90th $7–$90%50%10th90th$7$5.0$10.0$20.0$50.0

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
$7.08 / $12.88 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.41 / $12.30
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $8.91 / $21.88
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $30.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $8.71
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $8.91 / $13.49
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $9.12 / $19.95
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.71 / $8.71
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $8.91 / $21.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.41 / $7.41
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $9.12