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Georgia rates for HCPCS J2407

Injection, oritavancin (Orbactiv), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.52 / $11,477.01 / $15,777.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.52 / $28.68 / $34.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.68 / $46.69 / $105.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.67 / $28.68 / $28.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.68 / $28.68 / $56.21
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.76 / $65.00 / $111.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $34.82