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Texas rates for HCPCS J2406

Injection, oritavancin (Kimyrsa), 10 mg

Facilitymedian $87 · 10th–90th $43–$2040%10%20%10th90th$87Professionalmedian $43 · 10th–90th $43–$690%50%90th$43$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $75.86 / $3,630.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $69.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $102.33 / $190.55
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $45.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $109.65 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $43.65
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $60.26 / $104.71
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $43.65 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $61.66 / $138.04
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $43.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $43.65 / $70.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $42.66