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North Dakota rates for HCPCS J2406

Injection, oritavancin (Kimyrsa), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.48 / $42.48 / $74.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $42.48 / $50.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.08 / $46.31 / $46.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.17 / $46.24 / $46.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.58 / $43.58 / $54.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.69 / $41.73 / $70.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.40 / $41.40 / $46.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.11 / $42.48 / $47.58