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Texas rates for HCPCS J2407

Injection, oritavancin (Orbactiv), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.68 / $49.93 / $65.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.97 / $39.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.17 / $61.17 / $122.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.89 / $29.89 / $29.89
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $142.65 / $143.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.52 / $41.01 / $42.24
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.39 / $28.68 / $52.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.06 / $28.68 / $41.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.21 / $28.68 / $51.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $28.68
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.52 / $28.53 / $38.72