go back

Idaho rates for HCPCS J1267

Injection, doripenem, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $0.95 / $0.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.81 / $0.95
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $0.87 / $1.17
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.01 / $1.01 / $1.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.81 / $1.01