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Wyoming rates for HCPCS J2406

Injection, oritavancin (Kimyrsa), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.40 / $41.40 / $41.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.40 / $41.40 / $42.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.36 / $53.37 / $53.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.07 / $40.07 / $40.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $42.48 / $60.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $42.48 / $42.48