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Maine rates for HCPCS J1267

Doripenem Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.20 / $2.20 / $2.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.81 / $0.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $1.06 / $2.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
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
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.20 / $2.20 / $2.38
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.81 / $2.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.81 / $1.22