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Illinois rates for HCPCS J2406

Injection Oritavancin (Kimyrsa) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.40 / $68.81 / $138.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.40 / $42.48 / $50.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.22 / $182.17 / $902.77
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $63.72 / $120.17
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.22 / $55.22 / $55.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.45 / $42.45 / $42.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $42.48 / $47.84