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Wyoming rates for HCPCS J2407

Injection, oritavancin (Orbactiv), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.52 / $28.52 / $28.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.52 / $28.52 / $28.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.60 / $34.82 / $34.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.06 / $27.06 / $27.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $40.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $28.68