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West Virginia rates for HCPCS J3095

Injection, telavancin, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.18 / $7.47 / $7.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $7.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.11 / $10.67 / $10.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.71 / $7.11 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $13.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $10.68