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Hawaii rates for HCPCS J2407

Injection, oritavancin (Orbactiv), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.62 / $51.62 / $51.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.61 / $51.61 / $51.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $28.68
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.65 / $41.65 / $41.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.55 / $34.42 / $40.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $43.02
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.01 / $32.51 / $36.79