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Utah rates for HCPCS J2407

Injection, oritavancin (Orbactiv), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.08 / $33.27 / $33.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.27 / $33.27 / $33.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.38 / $40.35 / $43.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $28.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.45 / $56.80 / $81.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $28.68