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Illinois rates for HCPCS J2407

Injection, oritavancin (Orbactiv), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.52 / $46.46 / $95.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.52 / $28.68 / $34.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.66 / $142.94 / $518.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.68 / $28.68 / $28.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $28.68
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.53 / $43.02 / $73.16
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.28 / $37.28 / $37.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $31.34