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Missouri rates for HCPCS J2407

Injection, oritavancin (Orbactiv), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $34.67 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $28.84 / $47.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $30.20 / $100.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $28.84 / $34.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $28.18 / $28.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $28.18 / $29.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $34.67 / $141.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $28.84 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $34.67 / $38.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $28.18 / $34.67