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Idaho rates for HCPCS J2407

Injection, oritavancin (Orbactiv), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.52 / $28.52 / $41.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.52 / $31.55 / $35.85
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.55 / $38.00 / $51.27
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $35.85
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.53 / $42.18 / $70.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.42 / $34.42 / $35.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $28.68