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Arkansas rates for HCPCS J2406

Injection, oritavancin (Kimyrsa), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.61 / $50.97 / $50.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $42.48 / $50.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.92 / $44.92 / $44.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.38 / $44.92 / $44.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.07 / $42.48 / $42.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $42.48 / $42.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $42.48 / $45.19