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Connecticut rates for HCPCS J2406

Injection Oritavancin (Kimyrsa) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.48 / $64.67 / $118.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.18 / $44.18 / $44.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.74 / $64.58 / $127.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $42.48 / $42.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.48 / $42.48 / $42.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $42.48 / $42.48
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.08 / $46.08 / $53.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.22 / $42.48 / $48.91