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Washington rates for HCPCS J2407

Injection, oritavancin (Orbactiv), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.57 / $57.04 / $71.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $31.55 / $36.44
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.12 / $42.18 / $81.55
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $30.15 / $34.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.06 / $27.06 / $69.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $35.17
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.52 / $35.65 / $86.04
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.56 / $44.15 / $77.27
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $30.96 / $34.82
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.12 / $33.74 / $63.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $28.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $28.68