go back

West Virginia rates for HCPCS J2407

Injection, oritavancin (Orbactiv), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.52 / $12,668.56 / $12,668.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $28.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.68 / $43.02 / $43.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.06 / $28.68 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $53.06
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.07 / $39.07 / $39.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $28.68 / $34.82