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Montana rates for HCPCS J2407

Injection, oritavancin (Orbactiv), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.26 / $34.51 / $62.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.56 / $32.56 / $70.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $32.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.56 / $32.56 / $70.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $31.12 / $40.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $28.68