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Missouri rates for HCPCS J2406

Injection, oritavancin (Kimyrsa), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $53.70 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $43.65 / $72.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $45.71 / $151.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $42.66 / $53.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $42.66 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $42.66 / $44.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $50.12 / $213.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $41.69 / $47.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $52.48 / $57.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $42.66 / $52.48