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Vermont rates for HCPCS J2407

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $49.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.47 / $32.47 / $32.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.06 / $32.29 / $53.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $28.68
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.06 / $32.29 / $53.82
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $28.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.25 / $28.68 / $44.12