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New York rates for HCPCS J2406

Injection, oritavancin (Kimyrsa), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.40 / $50.51 / $82.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $42.48 / $50.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.97 / $33.97 / $42.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.73 / $42.48 / $42.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.07 / $40.07 / $42.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $42.48 / $42.48
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.07 / $60.11 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.08 / $46.08 / $56.57
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.48 / $42.48 / $44.08
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $42.48 / $44.08
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.07 / $40.07 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $42.48 / $59.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $42.48 / $59.53
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.08 / $44.08 / $44.08
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $42.48 / $44.08