go back

South Carolina 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
$29.87 / $30.11 / $121.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.67 / $30.11 / $46.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.64 / $37.89 / $61.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $34.82 / $39.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.06 / $28.68 / $28.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $28.68
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.11 / $34.82 / $72.29
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.70 / $42.70 / $42.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $28.68