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New Mexico rates for HCPCS J2407

Injection, oritavancin (Orbactiv), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.68 / $44.46 / $44.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $36.42 / $62.36
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 / $28.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.53 / $25.53 / $25.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.46 / $28.68 / $28.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $28.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $28.68