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Kentucky rates for HCPCS J2406

Injection, oritavancin (Kimyrsa), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.40 / $42.48 / $72.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $42.48 / $42.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.08 / $50.09 / $84.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.10 / $42.48 / $42.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.48 / $46.05 / $67.97
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $46.73 / $65.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.48 / $42.48 / $45.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $79.12 / $79.12
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 / $42.48