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Maryland rates for HCPCS J2407

Injection, oritavancin (Orbactiv), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.52 / $28.52 / $28.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $38.22
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.52 / $28.52 / $28.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $36.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $31.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $30.40
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.53 / $28.53 / $28.53