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Arizona rates for HCPCS J1267

Injection, doripenem, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $1.90 / $2.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $0.77 / $0.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.88 / $3.47 / $5.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.88 / $5.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.88 / $0.88 / $0.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $0.88 / $0.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.77 / $1.10 / $1.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.81 / $0.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.81 / $0.81