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North Carolina rates for HCPCS J2406

Injection, oritavancin (Kimyrsa), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.13 / $45.36 / $56.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.13 / $42.13 / $50.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.40 / $41.40 / $41.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.48 / $42.48 / $42.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $42.48 / $53.37
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.13 / $50.55 / $58.71
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.27 / $36.27 / $36.27
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 / $55.22
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $212.40