go back

Alaska rates for HCPCS J1267

Injection, doripenem, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.27 / $1.27 / $4.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $1.28 / $1.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $0.88 / $0.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $1.83 / $1.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.67 / $0.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $1.83 / $1.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $0.88 / $0.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $1.22 / $1.63