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Virginia rates for HCPCS J2406

Injection Oritavancin (Kimyrsa) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.48 / $47.47 / $94.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $44.60 / $44.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.48 / $89.63 / $144.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $42.48 / $42.48
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.36 / $65.27 / $98.50
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.11 / $50.98 / $53.16
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.48 / $42.48 / $67.93
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.36 / $42.75 / $54.37
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.36 / $42.75 / $54.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.79 / $42.48 / $53.16