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Oregon rates for HCPCS J2406

Injection, oritavancin (Kimyrsa), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.40 / $51.75 / $84.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.40 / $42.90 / $52.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.07 / $61.31 / $85.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $42.48 / $46.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.82 / $90.90 / $114.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.48 / $60.75 / $91.33
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $45.92 / $55.22
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.40 / $42.48 / $88.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.48 / $60.75 / $91.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $50.09 / $54.15
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.93 / $67.09 / $152.41
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $42.48 / $42.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $42.48 / $48.85