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Alaska rates for HCPCS J2407

Injection, oritavancin (Orbactiv), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.57 / $52.52 / $185.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.81 / $53.34 / $66.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $28.68
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.28 / $76.28 / $76.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $92.35
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.07 / $48.75 / $76.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.45 / $69.64 / $114.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $31.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $43.02 / $57.85