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Tennessee rates for HCPCS J2406

Injection, oritavancin (Kimyrsa), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.40 / $52.16 / $90.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $42.48 / $50.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.48 / $42.48 / $42.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $42.48 / $42.48
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $212.40 / $213.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $42.48 / $46.73