go back

Arizona rates for HCPCS J2407

Injection, oritavancin (Orbactiv), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.69 / $57.36 / $8,449.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.37 / $34.51 / $62.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.86 / $98.80 / $162.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.98 / $27.61 / $182.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.06 / $28.68 / $28.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $28.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.52 / $37.64 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.52 / $28.52 / $28.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $28.68