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Minnesota rates for HCPCS J2406

Injection Oritavancin (Kimyrsa) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.48 / $42.48 / $82.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $42.48 / $45.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.88 / $41.41 / $86.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $41.40 / $41.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.17 / $137.96 / $167.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.01 / $50.82 / $55.34
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.15 / $125.90 / $158.00
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.58 / $43.58 / $59.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.40 / $41.40 / $69.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.40 / $41.40 / $57.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $42.48 / $77.01