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Virginia 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
$28.68 / $32.71 / $65.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $30.11 / $30.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.68 / $60.51 / $97.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $28.68
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.47 / $43.77 / $66.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.06 / $27.06 / $28.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $28.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.38 / $34.42 / $34.82
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.68 / $28.68 / $42.73
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.25 / $28.68 / $36.71
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.25 / $28.68 / $36.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.82 / $28.68 / $34.82