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New Jersey rates for HCPCS J2406

Injection Oritavancin (Kimyrsa) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.47 / $50.92 / $113.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $42.48 / $42.90
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.48 / $48.48 / $62.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $42.48 / $42.48
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.77 / $180.22 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.92 / $41.40 / $41.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $42.48 / $53.16