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Kentucky rates for HCPCS J2407

Injection Oritavancin (Orbactiv) 10 Mg (Desc Rvsd 10/1/21)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.52 / $28.68 / $48.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $28.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.47 / $33.83 / $57.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.37 / $28.68 / $28.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.68 / $31.28 / $45.89
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $31.55 / $44.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.68 / $28.68 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.76 / $28.68 / $53.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $28.68