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Hawaii rates for HCPCS J2406

Injection, oritavancin (Kimyrsa), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.06 / $83.06 / $83.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $42.48 / $42.48
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.25 / $63.25 / $63.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.73 / $50.97 / $59.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $51.99 / $63.72
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.41 / $51.76 / $55.88