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Ohio rates for HCPCS J2407

Injection, oritavancin (Orbactiv), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.68 / $62.24 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.97 / $71.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.97 / $50.09 / $82.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $49.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.68 / $28.68 / $48.76
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $38.72
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 / $46.57
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.06 / $27.06 / $28.68
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $46.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.38 / $35.85 / $41.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $37.34