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Oklahoma rates for HCPCS J2407

Injection, oritavancin (Orbactiv), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.52 / $30.97 / $5,539.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.97 / $30.97 / $30.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.29 / $20.63 / $32.42
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
$23.78 / $30.80 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.52 / $28.52 / $28.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $30.40