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Illinois rates for HCPCS J1267

Injection, doripenem, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $1.54 / $2.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $4.50 / $13.74
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $120.00 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.81 / $0.86