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Oklahoma rates for HCPCS J2406

Injection, oritavancin (Kimyrsa), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.40 / $44.72 / $76.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.88 / $45.88 / $45.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.00 / $42.58 / $67.52
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.40 / $44.72 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.40 / $41.40 / $42.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $42.48 / $42.48