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Oregon rates for HCPCS J2407

Injection Oritavancin (Orbactiv) 10 Mg (Desc Rvsd 10/1/21)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.52 / $35.65 / $57.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.97 / $62.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.06 / $40.38 / $57.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $31.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.07 / $62.51 / $74.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.68 / $41.01 / $61.66
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $30.40 / $37.28
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.52 / $33.01 / $85.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.68 / $40.38 / $61.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $33.83 / $35.65
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.62 / $43.43 / $98.21
Regence BlueShield
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