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Alaska rates for HCPCS J2406

Injection, oritavancin (Kimyrsa), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.17 / $76.23 / $269.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.82 / $79.01 / $96.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $42.48 / $42.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.98 / $112.98 / $112.98
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $42.48 / $136.79
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.39 / $74.72 / $117.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.30 / $103.62 / $170.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $42.48 / $46.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $63.72 / $85.69