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Maine rates for HCPCS J2407

Injection, oritavancin (Orbactiv), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.54 / $66.54 / $71.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.83 / $34.51 / $34.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.75 / $34.84 / $90.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $28.68
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $34.72
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.54 / $66.54 / $71.70
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.83 / $34.51 / $71.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $41.59