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Washington rates for HCPCS J2406

Injection, oritavancin (Kimyrsa), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.17 / $54.37 / $86.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $46.73 / $50.09
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.93 / $62.90 / $121.60
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $45.78 / $53.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.07 / $40.07 / $85.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $42.48 / $52.10
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.40 / $42.48 / $80.29
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.83 / $65.47 / $114.57
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.50 / $47.00 / $53.37
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.93 / $50.32 / $104.38
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 / $42.48