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North Carolina rates for HCPCS J2407

Injection, oritavancin (Orbactiv), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.67 / $33.08 / $45.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.67 / $28.52 / $34.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.56 / $50.25 / $61.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.49 / $23.49 / $28.52
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 / $34.82
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.67 / $34.13 / $38.29
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.62 / $25.62 / $25.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $37.28
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $143.40