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Indiana rates for HCPCS J2407

Injection, oritavancin (Orbactiv), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.81 / $68.30 / $129.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.97 / $28.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.68 / $57.36 / $76.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.37 / $28.68 / $40.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.68 / $28.68 / $39.93
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $35.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.68 / $28.68 / $28.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.01 / $28.68 / $78.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $35.56