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Minnesota 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 / $57.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $62.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.16 / $32.97 / $55.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.82 / $28.52 / $28.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.65 / $92.33 / $112.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.35 / $34.01 / $36.90
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.28 / $84.26 / $105.75
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.06 / $29.06 / $39.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.52 / $28.52 / $48.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.52 / $28.52 / $49.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $51.62