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Rhode Island 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
$93.21 / $93.21 / $93.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $29.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.52 / $28.52 / $30.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $28.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.06 / $28.68 / $28.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $28.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $28.68