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Arkansas rates for HCPCS J2407

Injection, oritavancin (Orbactiv), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.85 / $34.42 / $34.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $34.22 / $34.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.95 / $30.95 / $30.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.60 / $30.95 / $30.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.52 / $28.68 / $28.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $28.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $29.60