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Iowa rates for HCPCS J2407

Injection, oritavancin (Orbactiv), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.82 / $34.82 / $106.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $34.82 / $62.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.06 / $29.06 / $36.33
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $43.28 / $62.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.52 / $34.22 / $43.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.52 / $28.52 / $42.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.24 / $42.80 / $67.05
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.69 / $33.85 / $60.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $29.25
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.52 / $28.52 / $28.52
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.52 / $28.52 / $28.52