go back

Louisiana rates for HCPCS J2407

Injection, oritavancin (Orbactiv), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.52 / $29.54 / $63.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.52 / $28.97 / $34.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.12 / $25.36 / $31.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.38 / $31.38 / $32.01
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $34.82