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Iowa rates for HCPCS J2406

Injection Oritavancin (Kimyrsa) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.37 / $53.37 / $145.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $42.48 / $53.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.58 / $43.77 / $54.47
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $68.58 / $99.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.40 / $46.54 / $65.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.40 / $41.40 / $51.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.68 / $64.98 / $101.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.39 / $49.74 / $56.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $42.48 / $43.33
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.40 / $41.40 / $41.40
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.40 / $41.40 / $41.40