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Nebraska rates for HCPCS J2407

Injection, oritavancin (Orbactiv), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.52 / $41.35 / $63.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.52 / $28.68 / $62.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.35 / $30.85 / $32.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.68 / $31.96 / $32.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.00 / $29.00 / $29.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $29.06 / $36.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.60 / $41.60 / $142.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.52 / $28.52 / $31.37
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.82 / $42.80 / $57.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.69 / $34.22 / $60.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.25 / $28.68 / $31.55