go back

North Dakota rates for HCPCS J2407

Injection, oritavancin (Orbactiv), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.68 / $28.68 / $51.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $34.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.12 / $31.28 / $31.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.45 / $31.23 / $31.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.06 / $29.06 / $36.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.89 / $28.52 / $48.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.52 / $28.52 / $30.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.38 / $28.68 / $31.15