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Louisiana rates for HCPCS J2406

Injection, oritavancin (Kimyrsa), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.40 / $43.47 / $91.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.40 / $42.90 / $50.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.97 / $38.68 / $47.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.05 / $47.05 / $47.99
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $42.48 / $53.16