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Washington rates for HCPCS J3095

Injection, telavancin, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.82 / $12.62 / $15.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.82 / $9.05
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.05 / $10.59 / $20.47
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $8.02 / $10.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.71 / $6.71 / $17.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $8.72
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.11 / $8.89 / $21.33
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.34 / $11.28 / $19.73
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.26 / $8.02 / $10.19
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.83 / $8.47 / $15.72
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $7.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $7.11