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Missouri rates for HCPCS J1267

Injection, doripenem, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.94 / $3.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.72 / $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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $1.29 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $0.81 / $0.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $0.81 / $0.93