go back

West Virginia rates for HCPCS J2406

Injection, oritavancin (Kimyrsa), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.40 / $47.19 / $7,587.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.82 / $42.48 / $42.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.48 / $63.72 / $63.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.07 / $42.48 / $45.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $42.48 / $79.12
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.77 / $42.77 / $42.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $42.48 / $53.16