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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
$42.66 / $91.20 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $42.66 / $46.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $87.10 / $147.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $42.66 / $72.44
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $64.57 / $97.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $42.66 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $42.66 / $42.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $42.66 / $56.23
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $42.66 / $69.18
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $45.71 / $63.10
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $45.71 / $63.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $42.66 / $70.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $42.66 / $53.70