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Washington, DC rates for HCPCS J2406

Injection Oritavancin (Kimyrsa) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.48 / $116.75 / $157.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $42.48 / $42.48
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.40 / $65.27 / $110.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.07 / $40.07 / $42.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.11 / $36.11 / $42.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.65 / $42.48 / $68.84