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Indiana rates for HCPCS J2406

Injection, oritavancin (Kimyrsa), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.82 / $102.00 / $188.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $42.90 / $42.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.48 / $84.96 / $112.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.10 / $42.48 / $60.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.48 / $42.48 / $63.05
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $42.48 / $53.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.48 / $42.48 / $42.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.41 / $42.48 / $116.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $42.48 / $53.16