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Massachusetts rates for HCPCS J2407

Injection Oritavancin (Orbactiv) 10 Mg (Desc Rvsd 10/1/21)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.68 / $28.68 / $57.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $29.83 / $34.22
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.81 / $75.00 / $143.40
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $35.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.77 / $36.60 / $78.01
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.09 / $57.04 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $59.56
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $143.40
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $43.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $40.15