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Tennessee rates for HCPCS J2407

Injection, oritavancin (Orbactiv), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.52 / $40.15 / $60.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $34.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.82 / $34.82 / $34.82
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $143.40 / $143.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $29.60