go back

Iowa rates for HCPCS J1267

Injection, doripenem, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $1.83 / $2.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.75 / $0.94
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.41 / $3.41 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $0.93 / $1.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.81 / $1.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $0.84 / $1.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.93 / $1.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.81 / $0.83