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Michigan rates for HCPCS J2407

Injection, oritavancin (Orbactiv), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.38 / $29.54 / $91.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $29.54 / $34.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.45 / $63.87 / $120.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.76 / $29.22 / $29.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.67 / $28.68 / $28.68
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.68 / $36.72 / $81.75
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $29.38 / $34.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.79 / $32.80 / $32.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $29.26