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Kansas rates for HCPCS J2406

Injection, oritavancin (Kimyrsa), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.23 / $53.37 / $182.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $43.33 / $59.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.23 / $60.44 / $63.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.90 / $53.90 / $53.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.07 / $40.07 / $42.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $42.48 / $42.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.40 / $50.31 / $63.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.40 / $41.40 / $47.79
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 / $53.16