go back

Kansas rates for HCPCS J2407

Injection, oritavancin (Orbactiv), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.09 / $125.49 / $22,766.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $30.97 / $40.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.18 / $33.72 / $38.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.76 / $30.76 / $30.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.06 / $27.06 / $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
$28.06 / $33.36 / $43.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.52 / $28.52 / $32.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $34.11